Vinnys Medical Clinic | |
401 S Main St Ste A8 Alpharetta GA 30009-1957 | |
(470) 560-7449 | |
Not Available |
Full Name | Vinnys Medical Clinic |
---|---|
Speciality | Clinic/Center |
Location | 401 S Main St Ste A8, Alpharetta, Georgia |
Authorized Official Name and Position | Vincentia Adjei (OWNER) |
Authorized Official Contact | 6784882532 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vinnys Medical Clinic 3980 Carissa Trce Cumming GA 30040-6174 Ph: (678) 488-2532 | Vinnys Medical Clinic 401 S Main St Ste A8 Alpharetta GA 30009-1957 Ph: (470) 560-7449 |
NPI Number | 1164135547 |
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Provider Enumeration Date | 01/02/2023 |
Last Update Date | 01/06/2023 |
Medicare PECOS PAC ID | 7911379839 |
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Medicare Enrollment ID | O20230202000415 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164135547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Vincentia Asantewah Adjei |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477964559 PECOS PAC ID: 2365875820 Enrollment ID: I20200116002566 |
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