| Sequence To Health | |
|
3790 Pleasant Hill Road Suite 260 Duluth GA 30096-5147 | |
| (770) 855-3229 | |
| Not Available |
| Full Name | Sequence To Health |
|---|---|
| Speciality | General Practice |
| Location | 3790 Pleasant Hill Road, Duluth, Georgia |
| Authorized Official Name and Position | Stacey Fears (OWNER) |
| Authorized Official Contact | 7708553229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequence To Health 3790 Pleasant Hill Road Suite 260 Duluth GA 30096-5147 Ph: (770) 855-3229 | Sequence To Health 3790 Pleasant Hill Road Suite 260 Duluth GA 30096-5147 Ph: (770) 855-3229 |
| NPI Number | 1548613987 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 10/06/2016 |
| Medicare PECOS PAC ID | 8325326556 |
|---|---|
| Medicare Enrollment ID | O20161024000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548613987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Stacey L Fears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922358027 PECOS PAC ID: 4385896653 Enrollment ID: I20121212000602 |
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