| Christ The King Medical Center | |
|
3531-3533 Highway 81 South Loganville GA 30052 | |
| (770) 554-2555 | |
| Not Available |
| Full Name | Christ The King Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 3531-3533 Highway 81 South, Loganville, Georgia |
| Authorized Official Name and Position | Constance George-adebayo (PHYSICIAN) |
| Authorized Official Contact | 7705542555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christ The King Medical Center 3531-3533 Highway 81 South Loganville GA 30052 Ph: () - | Christ The King Medical Center 3531-3533 Highway 81 South Loganville GA 30052 Ph: (770) 554-2555 |
| NPI Number | 1477789477 |
|---|---|
| Provider Enumeration Date | 06/04/2009 |
| Last Update Date | 04/23/2024 |
| Medicare PECOS PAC ID | 6800937962 |
|---|---|
| Medicare Enrollment ID | O20100112000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477789477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 060582 (Georgia) | Primary |
| Provider Name | Constance O George Adebayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114195302 PECOS PAC ID: 1850440371 Enrollment ID: I20090512000560 |
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