| Icecare Llc | |
|
976 Mansell Rd Roswell GA 30076-1533 | |
| (770) 800-3277 | |
| (770) 800-3537 |
| Full Name | Icecare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 976 Mansell Rd, Roswell, Georgia |
| Authorized Official Name and Position | Anthony Chukwuemeka C Iwelunmor (MD) |
| Authorized Official Contact | 7708003277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icecare Llc 976 Mansell Rd Roswell GA 30076-1533 Ph: (770) 800-3277 | Icecare Llc 976 Mansell Rd Roswell GA 30076-1533 Ph: (770) 800-3277 |
| NPI Number | 1366202236 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366202236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
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