| Sunhaven Healthcare Llc | |
|
92 W Paces Ferry Rd Nw Unit 7016 Atlanta GA 30305-1470 | |
| (404) 438-7346 | |
| Not Available |
| Full Name | Sunhaven Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 92 W Paces Ferry Rd Nw Unit 7016, Atlanta, Georgia |
| Authorized Official Name and Position | Jennifer Okere (NURSE PRACTITIONER) |
| Authorized Official Contact | 4044387346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunhaven Healthcare Llc 575 Pharr Rd Ne Unit 52906 Atlanta GA 30355-4076 Ph: () - | Sunhaven Healthcare Llc 92 W Paces Ferry Rd Nw Unit 7016 Atlanta GA 30305-1470 Ph: (404) 438-7346 |
| NPI Number | 1174248314 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/10/2022 |
| Medicare PECOS PAC ID | 0345611240 |
|---|---|
| Medicare Enrollment ID | O20230131001709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174248314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jennifer Chidima Okere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225502933 PECOS PAC ID: 2062894694 Enrollment ID: I20230207001894 |
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