Southeastern Endocrine & Diabetes, P.c. | |
1475 Holcomb Bridge Rd Suite 129 Roswell GA 30076-2139 | |
(678) 325-2250 | |
(678) 325-2261 |
Full Name | Southeastern Endocrine & Diabetes, P.c. |
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Speciality | Internal Medicine |
Location | 1475 Holcomb Bridge Rd, Roswell, Georgia |
Authorized Official Name and Position | Ann R Rosenbaum (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 6783252250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southeastern Endocrine & Diabetes, P.c. 1475 Holcomb Bridge Rd Suite 129 Roswell GA 30076-2139 Ph: (678) 325-2250 | Southeastern Endocrine & Diabetes, P.c. 1475 Holcomb Bridge Rd Suite 129 Roswell GA 30076-2139 Ph: (678) 325-2250 |
NPI Number | 1598746059 |
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Provider Enumeration Date | 11/10/2005 |
Last Update Date | 02/01/2021 |
Medicare PECOS PAC ID | 7214925023 |
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Medicare Enrollment ID | O20040503000107 |
Identifier | Type | State | Issuer |
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1598746059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Donni L Jester |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447231907 PECOS PAC ID: 8123059185 Enrollment ID: I20050830000130 |
Provider Name | John C Reed |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1194706531 PECOS PAC ID: 8628007283 Enrollment ID: I20050830000137 |
Provider Name | Muhammad F Siddiqui |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740578665 PECOS PAC ID: 8921237116 Enrollment ID: I20150218001147 |
Provider Name | Eileen Clare Borkovich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043529829 PECOS PAC ID: 9133511710 Enrollment ID: I20220111000420 |
Provider Name | Erin Alicebelle Dever |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619462553 PECOS PAC ID: 2769869361 Enrollment ID: I20220520001271 |
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