| Atlanta South Gastroenterology P.c. | |
|
1136 Cleveland Ave Suite 608 East Point GA 30344-3618 | |
| (404) 763-1606 | |
| (404) 768-3505 |
| Full Name | Atlanta South Gastroenterology P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1136 Cleveland Ave, East Point, Georgia |
| Authorized Official Name and Position | David Michael Martin (PRESIDENT) |
| Authorized Official Contact | 4047631606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta South Gastroenterology P.c. 1136 Cleveland Ave Suite 608 East Point GA 30344-3618 Ph: (404) 763-1606 | Atlanta South Gastroenterology P.c. 1136 Cleveland Ave Suite 608 East Point GA 30344-3618 Ph: (404) 763-1606 |
| NPI Number | 1700076346 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Medicare PECOS PAC ID | 6901887876 |
|---|---|
| Medicare Enrollment ID | O20040526001137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700076346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ralph C Lyons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740379866 PECOS PAC ID: 6800848862 Enrollment ID: I20111207000634 |
| Provider Name | Vickie H Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982940797 PECOS PAC ID: 9931341872 Enrollment ID: I20130806000512 |
Strong Healthcare And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1711 Washington Ave, East Point, GA 30344 Phone: 404-835-2891 Fax: 404-835-2899 | |
East Point Primary Care Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Cleveland Ave, Suite 2-d, East Point, GA 30344 Phone: 404-684-7111 Fax: 404-684-7112 | |
Port-a-wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1670 Washington Ave, East Point, GA 30344 Phone: 678-705-1691 Fax: 855-289-7475 | |
South Atlanta Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 Cleveland Ave, East Point, GA 30344 Phone: 404-768-4626 Fax: 404-768-4631 | |
Yssa Saad Dine M D P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1136 Cleveland Ave, Ste#209, East Point, GA 30344 Phone: 404-762-8211 Fax: 404-762-9182 | |
Dean Hunter Medical Consultant Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2445 Lake Ter, East Point, GA 30344 Phone: 404-344-0051 | |
Sound Physicians Of Georgia Iii Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1170 Cleveland Ave, East Point, GA 30344 Phone: 404-466-1170 |