| 1st Care Management, Inc. | |
|
1120 Hope Rd. Sandy Springs GA 30350 | |
| (833) 633-4778 | |
| Not Available |
| Full Name | 1st Care Management, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 Hope Rd., Sandy Springs, Georgia |
| Authorized Official Name and Position | Yuliya Korabelnikova (CEO) |
| Authorized Official Contact | 8336334778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Care Management, Inc. 1120 Hope Rd. Sandy Springs GA 30350 Ph: (833) 633-4778 | 1st Care Management, Inc. 1120 Hope Rd. Sandy Springs GA 30350 Ph: (833) 633-4778 |
| NPI Number | 1164974044 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Medicare PECOS PAC ID | 3375823636 |
|---|---|
| Medicare Enrollment ID | O20161205000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164974044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Sherri L Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699764183 PECOS PAC ID: 2769571587 Enrollment ID: I20071203000002 |
| Provider Name | Ebenezer E Frans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689698896 PECOS PAC ID: 5496705709 Enrollment ID: I20160321001427 |
| Provider Name | Ayyaz Mahmood Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730114026 PECOS PAC ID: 1456402312 Enrollment ID: I20191205002398 |
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