| Grayson Family Care | |
|
1700 Tree Ln Ste 160 Snellville GA 30078-6765 | |
| (678) 578-8422 | |
| (678) 578-8423 |
| Full Name | Grayson Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1700 Tree Ln Ste 160, Snellville, Georgia |
| Authorized Official Name and Position | Sangita Sharma (OWNER) |
| Authorized Official Contact | 4043722515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grayson Family Care 1700 Tree Ln Ste 160 Snellville GA 30078-6765 Ph: (678) 578-8422 | Grayson Family Care 1700 Tree Ln Ste 160 Snellville GA 30078-6765 Ph: (678) 578-8422 |
| NPI Number | 1558939256 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 7012319718 |
|---|---|
| Medicare Enrollment ID | O20210716000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558939256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sangita A Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396779690 PECOS PAC ID: 9436147469 Enrollment ID: I20050919000440 |
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