| Smyrna Medical Associates, Pc | |
|
3606 Highlands Pkwy Se Smyrna GA 30082-5184 | |
| (678) 303-5082 | |
| Not Available |
| Full Name | Smyrna Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3606 Highlands Pkwy Se, Smyrna, Georgia |
| Authorized Official Name and Position | Radhika Mudiyala (INTERNAL MEDICINE & GERIATRICS) |
| Authorized Official Contact | 6783035082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smyrna Medical Associates, Pc 3606 Highlands Pkwy Se Bldg 1 Smyrna GA 30082-5184 Ph: (678) 303-5082 | Smyrna Medical Associates, Pc 3606 Highlands Pkwy Se Smyrna GA 30082-5184 Ph: (678) 303-5082 |
| NPI Number | 1558416198 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 04/11/2016 |
| Medicare PECOS PAC ID | 4082698568 |
|---|---|
| Medicare Enrollment ID | O20040614000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558416198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 051069 (Georgia) | Primary |
| Provider Name | Radhika Mudiyala |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336195254 PECOS PAC ID: 4880685916 Enrollment ID: I20040519000313 |
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