| Traditions Health | |
|
5415 Sugarloaf Pkwy Ste 1102 Lawrenceville GA 30043-7832 | |
| (470) 292-3426 | |
| Not Available |
| Full Name | Traditions Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 5415 Sugarloaf Pkwy Ste 1102, Lawrenceville, Georgia |
| Authorized Official Name and Position | John Kerndl (CFO & SECRETARY) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Health 6840 Carothers Pkwy Ste 550 Franklin TN 37067-8002 Ph: (979) 704-6547 | Traditions Health 5415 Sugarloaf Pkwy Ste 1102 Lawrenceville GA 30043-7832 Ph: (470) 292-3426 |
| NPI Number | 1144945684 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 8123430535 |
|---|---|
| Medicare Enrollment ID | O20221103002042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144945684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alana M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578519161 PECOS PAC ID: 1557260247 Enrollment ID: I20090428000223 |
| Provider Name | Mellen K Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003462284 PECOS PAC ID: 8224464383 Enrollment ID: I20200207002498 |
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