Steven J Mccuiston Md Pc | |
4905a Lavista Rd Tucker GA 30084-4437 | |
(770) 493-4620 | |
(770) 270-5301 |
Full Name | Steven J Mccuiston Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 4905a Lavista Rd, Tucker, Georgia |
Authorized Official Name and Position | Steven J Mccuiston (PRESIDENT) |
Authorized Official Contact | 7704934620 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Steven J Mccuiston Md Pc 4905a Lavista Rd Tucker GA 30084-4437 Ph: (770) 493-4620 | Steven J Mccuiston Md Pc 4905a Lavista Rd Tucker GA 30084-4437 Ph: (770) 493-4620 |
NPI Number | 1851554083 |
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Provider Enumeration Date | 07/08/2008 |
Last Update Date | 07/08/2008 |
Medicare PECOS PAC ID | 3072689884 |
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Medicare Enrollment ID | O20080902000376 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851554083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 031788 (Georgia) | Primary |
Provider Name | Steven J Mccuiston |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659369338 PECOS PAC ID: 0547336356 Enrollment ID: I20080902000364 |
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