| Prestigehealth Primary And Urgent Care Llc | |
|
3920 Jonesboro Rd Ste 3 Union City GA 30291-2258 | |
| (678) 387-2710 | |
| Not Available |
| Full Name | Prestigehealth Primary And Urgent Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3920 Jonesboro Rd Ste 3, Union City, Georgia |
| Authorized Official Name and Position | Adegboyega Oyegbenga Orelaja (MANAGER) |
| Authorized Official Contact | 6783872710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestigehealth Primary And Urgent Care Llc 3920 Jonesboro Rd Ste 3 Union City GA 30291-2258 Ph: (678) 387-2710 | Prestigehealth Primary And Urgent Care Llc 3920 Jonesboro Rd Ste 3 Union City GA 30291-2258 Ph: (678) 387-2710 |
| NPI Number | 1205405982 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 3577951201 |
|---|---|
| Medicare Enrollment ID | O20211028001666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205405982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Earl C Joyner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851386320 PECOS PAC ID: 9133139868 Enrollment ID: I20060426000222 |
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