| Cherish Moments, Llc. | |
|
808 Pavilion Ct Ste D Mcdonough GA 30253-6666 | |
| (678) 558-2467 | |
| Not Available |
| Full Name | Cherish Moments, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 808 Pavilion Ct Ste D, Mcdonough, Georgia |
| Authorized Official Name and Position | Aquarius S Card (CEO) |
| Authorized Official Contact | 6785582467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherish Moments, Llc. 808 Pavilion Ct Ste D Mcdonough GA 30253-6666 Ph: (678) 558-2467 | Cherish Moments, Llc. 808 Pavilion Ct Ste D Mcdonough GA 30253-6666 Ph: (678) 558-2467 |
| NPI Number | 1508520941 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Medicare PECOS PAC ID | 0244606507 |
|---|---|
| Medicare Enrollment ID | O20221012001703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508520941 | NPI | - | NPPES |
| Provider Name | Aquarius Shawnta Card |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144898602 PECOS PAC ID: 3577963016 Enrollment ID: I20221012001783 |
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