| Marietta Family Medicine | |
|
3535 Roswell Rd Ste 20 Marietta GA 30062-6252 | |
| (678) 741-7185 | |
| (678) 741-7168 |
| Full Name | Marietta Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 3535 Roswell Rd Ste 20, Marietta, Georgia |
| Authorized Official Name and Position | Irshad Syed (PHYSICIAN) |
| Authorized Official Contact | 6787417185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta Family Medicine 3535 Roswell Rd Ste 20 Marietta GA 30062-6252 Ph: (678) 741-7185 | Marietta Family Medicine 3535 Roswell Rd Ste 20 Marietta GA 30062-6252 Ph: (678) 741-7185 |
| NPI Number | 1083071773 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 03/30/2022 |
| Medicare PECOS PAC ID | 6406147818 |
|---|---|
| Medicare Enrollment ID | O20160615000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083071773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Irshad Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568499390 PECOS PAC ID: 6901828797 Enrollment ID: I20160706001271 |
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