| The Terraces At Peachtree Hills Place | |
|
229 Peachtree Hills Ave Ne Atlanta GA 30305-4411 | |
| (678) 327-2859 | |
| (678) 619-3211 |
| Full Name | The Terraces At Peachtree Hills Place |
|---|---|
| Speciality | Clinic/Center |
| Location | 229 Peachtree Hills Ave Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Kevin W Isakson (MEMBER) |
| Authorized Official Contact | 4049411329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Terraces At Peachtree Hills Place 229 Peachtree Hills Ave Ne Atlanta GA 30305-4411 Ph: (678) 327-2859 | The Terraces At Peachtree Hills Place 229 Peachtree Hills Ave Ne Atlanta GA 30305-4411 Ph: (678) 327-2859 |
| NPI Number | 1801429105 |
|---|---|
| Provider Enumeration Date | 02/15/2020 |
| Last Update Date | 02/02/2023 |
| Medicare PECOS PAC ID | 5597196436 |
|---|---|
| Medicare Enrollment ID | O20200511000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801429105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Khurram A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063677011 PECOS PAC ID: 6204092455 Enrollment ID: I20120717000058 |
| Provider Name | Traci Switzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851732598 PECOS PAC ID: 4789828989 Enrollment ID: I20130909000717 |
| Provider Name | Joash T Lazarus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720374754 PECOS PAC ID: 1254652829 Enrollment ID: I20150608001888 |
| Provider Name | Eleni Andria Footman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164835005 PECOS PAC ID: 9133472657 Enrollment ID: I20181031001606 |
| Provider Name | Sadaf Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528453842 PECOS PAC ID: 2567718919 Enrollment ID: I20210225003335 |
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