| Primary Focus, Pc | |
|
101 Marietta St Nw Ste 2460 Atlanta GA 30303-2772 | |
| (706) 880-3577 | |
| Not Available |
| Full Name | Primary Focus, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Marietta St Nw Ste 2460, Atlanta, Georgia |
| Authorized Official Name and Position | Cecil Bennett (OWNER) |
| Authorized Official Contact | 4044310482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Focus, Pc 101 Marietta St Nw Ste 2460 Atlanta GA 30303-2772 Ph: () - | Primary Focus, Pc 101 Marietta St Nw Ste 2460 Atlanta GA 30303-2772 Ph: (706) 880-3577 |
| NPI Number | 1710737903 |
|---|---|
| Provider Enumeration Date | 03/22/2024 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 0840732418 |
|---|---|
| Medicare Enrollment ID | O20240611001610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710737903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cecil F Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982773610 PECOS PAC ID: 2668463654 Enrollment ID: I20040611000976 |
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