| Tarr Medical Pc | |
|
1123 Ralph David Abernathy Blvd Sw Atlanta GA 30310-1729 | |
| (404) 346-3487 | |
| (404) 349-8628 |
| Full Name | Tarr Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1123 Ralph David Abernathy Blvd Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Carla Bedford Dixon (CEO) |
| Authorized Official Contact | 4043463487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarr Medical Pc 1123 Ralph David Abernathy Blvd Sw Atlanta GA 30310-1729 Ph: (404) 346-3487 | Tarr Medical Pc 1123 Ralph David Abernathy Blvd Sw Atlanta GA 30310-1729 Ph: (404) 346-3487 |
| NPI Number | 1881911089 |
|---|---|
| Provider Enumeration Date | 04/27/2010 |
| Last Update Date | 02/18/2015 |
| Medicare PECOS PAC ID | 8426185232 |
|---|---|
| Medicare Enrollment ID | O20100428000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881911089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 60239 (Georgia) | Primary |
| Provider Name | Carla Yvonne Bedford Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801849716 PECOS PAC ID: 4385608363 Enrollment ID: I20100428000282 |
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