| Mumtaz Mumtaz Inc | |
|
2404 Macy Dr Roswell GA 30076-6343 | |
| (770) 640-8814 | |
| (770) 640-8815 |
| Full Name | Mumtaz Mumtaz Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2404 Macy Dr, Roswell, Georgia |
| Authorized Official Name and Position | Farzana B Mumtaz (OWNER) |
| Authorized Official Contact | 7706408814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mumtaz Mumtaz Inc 2404 Macy Dr Roswell GA 30076-6343 Ph: (770) 640-8814 | Mumtaz Mumtaz Inc 2404 Macy Dr Roswell GA 30076-6343 Ph: (770) 640-8814 |
| NPI Number | 1982783304 |
|---|---|
| Provider Enumeration Date | 11/05/2006 |
| Last Update Date | 11/23/2010 |
| Medicare PECOS PAC ID | 8426943606 |
|---|---|
| Medicare Enrollment ID | O20040217000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982783304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Farzana B Mumtaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861571291 PECOS PAC ID: 8729973912 Enrollment ID: I20040218000018 |
Centered Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Upper Hembree Rd Ste F, Roswell, GA 30076 Phone: 770-410-4894 | |
Crabapple Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 W Crossville Rd, Suite 501, Roswell, GA 30075 Phone: 770-594-1233 Fax: 770-594-0037 | |
Independent Physical Therapy Of Georgia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11490 Alpharetta Hwy, Suite 200, Roswell, GA 30076 Phone: 770-740-8592 Fax: 770-752-9478 | |
Welcome Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11205 Alpharetta Hwy Ste B-6a, Roswell, GA 30076 Phone: 770-753-4884 Fax: 770-753-0507 | |
Seen Medical Group Of Ga, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Old Roswell Lakes Pkwy Ste 310, Roswell, GA 30076 Phone: 339-793-8998 | |
Clinica Union Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 861 Holcomb Bridge Rd, Ste 200, Roswell, GA 30076 Phone: 770-992-4455 | |
Hip Medical Georgia,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11660 Alpharetta Hwy Ste 285, Roswell, GA 30076 Phone: 404-255-5774 |