| Guardian Health Group | |
|
6296 Cheatham Lake Dr Nw Acworth GA 30101-7642 | |
| (516) 647-1557 | |
| Not Available |
| Full Name | Guardian Health Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 6296 Cheatham Lake Dr Nw, Acworth, Georgia |
| Authorized Official Name and Position | Marie-andree Parent (NP) |
| Authorized Official Contact | 5166471557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Health Group 6296 Cheatham Lake Dr Nw Acworth GA 30101-7642 Ph: (516) 647-1557 | Guardian Health Group 6296 Cheatham Lake Dr Nw Acworth GA 30101-7642 Ph: (516) 647-1557 |
| NPI Number | 1679181168 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 04/12/2021 |
| Certification Date | 04/12/2021 |
| Medicare PECOS PAC ID | 7113346578 |
|---|---|
| Medicare Enrollment ID | O20201005000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679181168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Marie-andree Parent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639539125 PECOS PAC ID: 7315235512 Enrollment ID: I20161004000250 |
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