| Firststop Medical Clinic Llc | |
|
3375 Memorial Dr Ste G Decatur GA 30032-2706 | |
| (404) 494-6774 | |
| Not Available |
| Full Name | Firststop Medical Clinic Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3375 Memorial Dr Ste G, Decatur, Georgia |
| Authorized Official Name and Position | Glory Dioh-esona (OWNER) |
| Authorized Official Contact | 4044946774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firststop Medical Clinic Llc 3375 Memorial Dr Ste G Decatur GA 30032-2706 Ph: (470) 446-2137 | Firststop Medical Clinic Llc 3375 Memorial Dr Ste G Decatur GA 30032-2706 Ph: (404) 494-6774 |
| NPI Number | 1538912423 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/24/2025 |
| Medicare PECOS PAC ID | 4789129024 |
|---|---|
| Medicare Enrollment ID | O20240711001274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538912423 | NPI | - | NPPES |
| Provider Name | Igwebuike Onyekaba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699721605 PECOS PAC ID: 1254233430 Enrollment ID: I20040712000889 |
| Provider Name | Glory Ahone Toke Dioh-esona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356822126 PECOS PAC ID: 8628313079 Enrollment ID: I20181213001052 |
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