Marietta Family Medicine | |
3535 Roswell Rd Ste 20 Marietta GA 30062-6252 | |
(678) 741-7185 | |
(678) 741-7168 |
Full Name | Marietta Family Medicine |
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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 |
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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 |
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Provider Enumeration Date | 01/26/2016 |
Last Update Date | 03/30/2022 |
Medicare PECOS PAC ID | 6406147818 |
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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 |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568499390 PECOS PAC ID: 6901828797 Enrollment ID: I20160706001271 |
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