| Senior Care Office, Llc | |
|
2020 Beverly Road Gainesville GA 30501-2037 | |
| (770) 219-8600 | |
| (770) 219-8440 |
| Full Name | Senior Care Office, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2020 Beverly Road, Gainesville, Georgia |
| Authorized Official Name and Position | Swati Gaur (OWNER) |
| Authorized Official Contact | 7702198600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Care Office, Llc 601 S. Enota Drive Suite Q Gainesville GA 30501-2240 Ph: (770) 219-8420 | Senior Care Office, Llc 2020 Beverly Road Gainesville GA 30501-2037 Ph: (770) 219-8600 |
| NPI Number | 1821361577 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 04/24/2012 |
| Medicare PECOS PAC ID | 5799948642 |
|---|---|
| Medicare Enrollment ID | O20120514000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821361577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 057624 (Georgia) | Primary |
| Provider Name | Swati Gaur |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477500122 PECOS PAC ID: 4981601754 Enrollment ID: I20061109000141 |
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