Rockdale Family Practice, Pc | |
2020 Honey Creek Pkwy Se Conyers GA 30013-2974 | |
(770) 929-0813 | |
(770) 929-3868 |
Full Name | Rockdale Family Practice, Pc |
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Speciality | Family Medicine |
Location | 2020 Honey Creek Pkwy Se, Conyers, Georgia |
Authorized Official Name and Position | Cindy Mcguire (OFFICE ADMINISTRATOR) |
Authorized Official Contact | 7709290813 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rockdale Family Practice, Pc 2020 Honey Creek Pkwy Se Conyers GA 30013-2974 Ph: (770) 929-0813 | Rockdale Family Practice, Pc 2020 Honey Creek Pkwy Se Conyers GA 30013-2974 Ph: (770) 929-0813 |
NPI Number | 1952460149 |
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Provider Enumeration Date | 12/06/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4284527151 |
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Medicare Enrollment ID | O20040204000777 |
Identifier | Type | State | Issuer |
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1952460149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 33847 (Georgia) | Primary |
Provider Name | Nadeem Hoodbhoy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841297520 PECOS PAC ID: 0143215681 Enrollment ID: I20040415000721 |
Provider Name | Mary Jane Kassam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306844675 PECOS PAC ID: 8628086055 Enrollment ID: I20060328000042 |
Provider Name | Indira R Asser |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043414048 PECOS PAC ID: 4981705704 Enrollment ID: I20070724000483 |
Provider Name | Nayeem S Akmal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124026414 PECOS PAC ID: 2062478381 Enrollment ID: I20080124000386 |
Provider Name | Mohamed H Kassam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215935507 PECOS PAC ID: 3971496845 Enrollment ID: I20100920000886 |
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