| Cumming Internal Medicine | |
|
1380 Upper Hembree Rd Roswell GA 30076-1146 | |
| (770) 442-9016 | |
| Not Available |
| Full Name | Cumming Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1380 Upper Hembree Rd, Roswell, Georgia |
| Authorized Official Name and Position | Heidi Mabry (BILLING MANAGER) |
| Authorized Official Contact | 7704752377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumming Internal Medicine 1380 Upper Hembree Rd Roswell GA 30076-1146 Ph: (770) 442-9016 | Cumming Internal Medicine 1380 Upper Hembree Rd Roswell GA 30076-1146 Ph: (770) 442-9016 |
| NPI Number | 1770799702 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2769465103 |
|---|---|
| Medicare Enrollment ID | O20150817001577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770799702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Georgia) | Primary |
| Provider Name | Marianne Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982790531 PECOS PAC ID: 6204723281 Enrollment ID: I20040303000869 |
| Provider Name | Jason J Holbrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073617692 PECOS PAC ID: 9931187648 Enrollment ID: I20040715000457 |
| Provider Name | Margaret M Still |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326150251 PECOS PAC ID: 2567440274 Enrollment ID: I20040715000539 |
| Provider Name | Todd D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245342112 PECOS PAC ID: 5294713905 Enrollment ID: I20040715000565 |
| Provider Name | Sara Whitney Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114464310 PECOS PAC ID: 2769759737 Enrollment ID: I20170522002981 |
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