Yager Family Medicine Llc | |
3645 Chamblee Dunwoody Rd Chamblee GA 30341-2142 | |
(770) 451-4478 | |
(770) 457-4415 |
Full Name | Yager Family Medicine Llc |
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Speciality | Family Medicine |
Location | 3645 Chamblee Dunwoody Rd, Chamblee, Georgia |
Authorized Official Name and Position | Joshua Yager (OWNDER) |
Authorized Official Contact | 4046608076 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Yager Family Medicine Llc 3645 Chamblee Dunwoody Rd Chamblee GA 30341-2142 Ph: (770) 451-4478 | Yager Family Medicine Llc 3645 Chamblee Dunwoody Rd Chamblee GA 30341-2142 Ph: (770) 451-4478 |
NPI Number | 1063044618 |
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Provider Enumeration Date | 02/11/2020 |
Last Update Date | 12/05/2022 |
Medicare PECOS PAC ID | 7012348485 |
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Medicare Enrollment ID | O20200519002176 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063044618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Joshua Alexander Yager |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134515448 PECOS PAC ID: 4981911559 Enrollment ID: I20181025000929 |
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