Westbrook Internal Medicine, Llc | |
3950 Cobb Pkwy Nw Ste 601 Acworth GA 30101-9530 | |
(770) 874-7623 | |
(770) 874-7627 |
Full Name | Westbrook Internal Medicine, Llc |
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Speciality | Internal Medicine |
Location | 3950 Cobb Pkwy Nw Ste 601, Acworth, Georgia |
Authorized Official Name and Position | Bhawna Khanna (MANAGING MEMBER) |
Authorized Official Contact | 7708747623 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Westbrook Internal Medicine, Llc 3950 Cobb Pkwy Nw Suite 601 Acworth GA 30101-9532 Ph: (770) 874-7623 | Westbrook Internal Medicine, Llc 3950 Cobb Pkwy Nw Ste 601 Acworth GA 30101-9530 Ph: (770) 874-7623 |
NPI Number | 1699888776 |
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Provider Enumeration Date | 08/16/2006 |
Last Update Date | 12/07/2012 |
Medicare PECOS PAC ID | 8022273952 |
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Medicare Enrollment ID | O20120627000459 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699888776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 50310 (Georgia) | Primary |
Provider Name | Bhawna Khanna |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184614380 PECOS PAC ID: 8527038249 Enrollment ID: I20040729001022 |
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