Transitional Care Clinic Llc | |
2084 Newnan Crossing Blvd E Ste 300 Newnan GA 30265-2561 | |
(000) 000-0000 | |
Not Available |
Full Name | Transitional Care Clinic Llc |
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Speciality | Clinic/Center |
Location | 2084 Newnan Crossing Blvd E Ste 300, Newnan, Georgia |
Authorized Official Name and Position | Cyril Anara (CHIEF OF OPERATION) |
Authorized Official Contact | 3473106557 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Transitional Care Clinic Llc 2084 Newnan Crossing Blvd E Newnan GA 30265-2559 Ph: () - | Transitional Care Clinic Llc 2084 Newnan Crossing Blvd E Ste 300 Newnan GA 30265-2561 Ph: (000) 000-0000 |
NPI Number | 1073146759 |
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Provider Enumeration Date | 02/20/2020 |
Last Update Date | 04/21/2020 |
Medicare PECOS PAC ID | 8123458478 |
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Medicare Enrollment ID | O20200429000154 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073146759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Paul C Chukelu |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1376830174 PECOS PAC ID: 5092939652 Enrollment ID: I20140623000364 |
Provider Name | Ike A Nwaobi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417112475 PECOS PAC ID: 8224218391 Enrollment ID: I20200429000775 |
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