| Atlanta Men's Clinic | |
|
4411 Suwanee Dam Rd Ste 440 Suwanee GA 30024-8706 | |
| (470) 589-7140 | |
| (844) 350-6954 |
| Full Name | Atlanta Men's Clinic |
|---|---|
| Speciality | Specialist |
| Location | 4411 Suwanee Dam Rd Ste 440, Suwanee, Georgia |
| Authorized Official Name and Position | Diana Reeder (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4705897120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Men's Clinic 4411 Suwanee Dam Rd Ste 440 Suwanee GA 30024-8706 Ph: (470) 589-7140 | Atlanta Men's Clinic 4411 Suwanee Dam Rd Ste 440 Suwanee GA 30024-8706 Ph: (470) 589-7140 |
| NPI Number | 1124752886 |
|---|---|
| Provider Enumeration Date | 07/10/2022 |
| Last Update Date | 04/24/2023 |
| Medicare PECOS PAC ID | 5991162703 |
|---|---|
| Medicare Enrollment ID | O20230610000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124752886 | NPI | - | NPPES |
| 1255728994 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
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