| West Forsyth Internal Medicine | |
|
810 Sanders Rd Ste B Cumming GA 30041-9051 | |
| (770) 415-2515 | |
| (770) 415-2515 |
| Full Name | West Forsyth Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 Sanders Rd Ste B, Cumming, Georgia |
| Authorized Official Name and Position | Allison Santizo (CEO) |
| Authorized Official Contact | 7704152515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Forsyth Internal Medicine 810 Sanders Rd Ste B Cumming GA 30041-9051 Ph: (770) 415-2515 | West Forsyth Internal Medicine 810 Sanders Rd Ste B Cumming GA 30041-9051 Ph: (770) 415-2515 |
| NPI Number | 1841861457 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 05/14/2022 |
| Medicare PECOS PAC ID | 5597127662 |
|---|---|
| Medicare Enrollment ID | O20230822001349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841861457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Allison Brooke Santizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891112033 PECOS PAC ID: 6103137823 Enrollment ID: I20150623000781 |
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