| First Foundation Medical Clinic, P.C. | |
|
2930 Horizon Park Dr Suite C Suwanee GA 30024-7252 | |
| (678) 546-2840 | |
| (678) 546-2844 |
| Full Name | First Foundation Medical Clinic, P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2930 Horizon Park Dr, Suwanee, Georgia |
| Authorized Official Name and Position | Julius Olukayode Ajayi (PRESIDENT) |
| Authorized Official Contact | 6785462840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Foundation Medical Clinic, P.C. 2930 Horizon Park Dr Suite C Suwanee GA 30024-7252 Ph: (678) 546-2840 | First Foundation Medical Clinic, P.C. 2930 Horizon Park Dr Suite C Suwanee GA 30024-7252 Ph: (678) 546-2840 |
| NPI Number | 1306858337 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 03/13/2026 |
| Certification Date | 03/13/2026 |
| Medicare PECOS PAC ID | 2769569078 |
|---|---|
| Medicare Enrollment ID | O20080411000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306858337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 043843 (Georgia) | Primary |
| Provider Name | Julius O Ajayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013189364 PECOS PAC ID: 5193619062 Enrollment ID: I20040211000648 |
| Provider Name | Pamela Rosemarie Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912586892 PECOS PAC ID: 3476905662 Enrollment ID: I20240124000588 |
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