| V Physician Services Llc | |
|
1124 N Tennessee St Ste 104 Cartersville GA 30120-7938 | |
| (470) 684-1448 | |
| (888) 498-4169 |
| Full Name | V Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1124 N Tennessee St Ste 104, Cartersville, Georgia |
| Authorized Official Name and Position | Donna Lowery Priest (OFFICE MANAGER) |
| Authorized Official Contact | 4706841448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| V Physician Services Llc 1124 N Tennessee St Ste 104 Cartersville GA 30120-7938 Ph: (470) 684-1448 | V Physician Services Llc 1124 N Tennessee St Ste 104 Cartersville GA 30120-7938 Ph: (470) 684-1448 |
| NPI Number | 1699441162 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 03/02/2024 |
| Medicare PECOS PAC ID | 1355748013 |
|---|---|
| Medicare Enrollment ID | O20210922001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699441162 | NPI | - | NPPES |
| Provider Name | Shreedhar N Nagnur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538168968 PECOS PAC ID: 7618936188 Enrollment ID: I20080603000264 |
| Provider Name | Lakshman K Dinavahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528233723 PECOS PAC ID: 5799836243 Enrollment ID: I20130820000875 |
| Provider Name | Quyen Ta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003264250 PECOS PAC ID: 3375836265 Enrollment ID: I20160729002120 |
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