| Georgia Medical And Nephrology Group | |
|
4450 Calibre Xing Nw Ste 1126 Acworth GA 30101-4104 | |
| (770) 226-4053 | |
| Not Available |
| Full Name | Georgia Medical And Nephrology Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 4450 Calibre Xing Nw Ste 1126, Acworth, Georgia |
| Authorized Official Name and Position | Cyriacus Anaele (CEO) |
| Authorized Official Contact | 7702264053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Medical And Nephrology Group 4450 Calibre Xing Nw Ste 1126 Acworth GA 30101-4104 Ph: (770) 226-4053 | Georgia Medical And Nephrology Group 4450 Calibre Xing Nw Ste 1126 Acworth GA 30101-4104 Ph: (770) 226-4053 |
| NPI Number | 1497372064 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 1052735123 |
|---|---|
| Medicare Enrollment ID | O20200722001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497372064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Cyriacus Anaele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942456256 PECOS PAC ID: 2769541366 Enrollment ID: I20101015000725 |
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