| Value In Prevention Of Georgia Roswell Llc | |
|
1265 Upper Hembree Rd Ste 200 Roswell GA 30076-1258 | |
| (770) 442-9982 | |
| (770) 442-5824 |
| Full Name | Value In Prevention Of Georgia Roswell Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1265 Upper Hembree Rd Ste 200, Roswell, Georgia |
| Authorized Official Name and Position | Andrea Klemes (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5619824300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Value In Prevention Of Georgia Roswell Llc 4950 Communication Ave Boca Raton FL 33431-3307 Ph: (561) 400-2713 | Value In Prevention Of Georgia Roswell Llc 1265 Upper Hembree Rd Ste 200 Roswell GA 30076-1258 Ph: (770) 442-9982 |
| NPI Number | 1184486169 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 1052750270 |
|---|---|
| Medicare Enrollment ID | O20240419001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184486169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James H West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891779344 PECOS PAC ID: 6406852409 Enrollment ID: I20101202000661 |
| Provider Name | Stephen E Mikos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770566523 PECOS PAC ID: 5597937797 Enrollment ID: I20111012000497 |
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