| Primary Care Center Of Georgia, Inc | |
|
870 Collins Hill Rd Lawrenceville GA 30043-4407 | |
| (678) 377-0900 | |
| (678) 377-6556 |
| Full Name | Primary Care Center Of Georgia, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 870 Collins Hill Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Riaz A Syed (OWNER) |
| Authorized Official Contact | 6783770900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Center Of Georgia, Inc 870 Collins Hill Rd Lawrenceville GA 30043-4407 Ph: (678) 377-0900 | Primary Care Center Of Georgia, Inc 870 Collins Hill Rd Lawrenceville GA 30043-4407 Ph: (678) 377-0900 |
| NPI Number | 1225454648 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 03/10/2014 |
| Medicare PECOS PAC ID | 4981836749 |
|---|---|
| Medicare Enrollment ID | O20140409000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225454648 | NPI | - | NPPES |
| 000752507A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 043791 (Georgia) | Primary |
| Provider Name | Riaz A Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932294493 PECOS PAC ID: 5496871683 Enrollment ID: I20100924000810 |
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