| Prodiagnostics Medical Center | |
|
6460 Highway 92 Ste 200 Acworth GA 30102-2998 | |
| (678) 915-1891 | |
| (678) 915-1893 |
| Full Name | Prodiagnostics Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 6460 Highway 92 Ste 200, Acworth, Georgia |
| Authorized Official Name and Position | Carlos Alberto Escobar (APRN) |
| Authorized Official Contact | 7708804517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodiagnostics Medical Center 6460 Highway 92 Ste 200 Acworth GA 30102-2998 Ph: (678) 915-1891 | Prodiagnostics Medical Center 6460 Highway 92 Ste 200 Acworth GA 30102-2998 Ph: (678) 915-1891 |
| NPI Number | 1851805469 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851805469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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