| Heritage Medical Solutions, Inc. | |
|
4330 South Lee Street Bldg 600 Buford GA 30518-5754 | |
| (678) 889-4944 | |
| (678) 889-4946 |
| Full Name | Heritage Medical Solutions, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4330 South Lee Street, Buford, Georgia |
| Authorized Official Name and Position | Steve Ajony (PRESIDENT/C.E.O) |
| Authorized Official Contact | 6788894944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Medical Solutions, Inc. 4330 South Lee Street Bldg 600 Buford GA 30518-5754 Ph: (678) 889-4944 | Heritage Medical Solutions, Inc. 4330 South Lee Street Bldg 600 Buford GA 30518-5754 Ph: (678) 889-4944 |
| NPI Number | 1982880019 |
|---|---|
| Provider Enumeration Date | 01/18/2008 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982880019 | NPI | - | NPPES |
| 1023170842 | Other | GA | NPI INDIVIDUAL |
| 11662044 | Other | GA | CAQH |
| 097274712A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 047776 (Georgia) | Primary |
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