Rose Briglevich, M.d., P.c. | |
3969 S Cobb Dr Se #107 Smyrna GA 30080-6358 | |
(770) 433-0434 | |
Not Available |
Full Name | Rose Briglevich, M.d., P.c. |
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Speciality | Internal Medicine |
Location | 3969 S Cobb Dr Se, Smyrna, Georgia |
Authorized Official Name and Position | Rose Briglevich (PHYSICIAN) |
Authorized Official Contact | 7704330434 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rose Briglevich, M.d., P.c. 3969 S Cobb Dr Se #107 Smyrna GA 30080-6358 Ph: (770) 433-0434 | Rose Briglevich, M.d., P.c. 3969 S Cobb Dr Se #107 Smyrna GA 30080-6358 Ph: (770) 433-0434 |
NPI Number | 1891138640 |
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Provider Enumeration Date | 04/11/2013 |
Last Update Date | 04/11/2013 |
Medicare PECOS PAC ID | 9335385996 |
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Medicare Enrollment ID | O20130426000419 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891138640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 17042 (Georgia) | Primary |
Provider Name | Rose M Briglevich |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952395550 PECOS PAC ID: 4486608858 Enrollment ID: I20050309000073 |
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