| Medcura Health, Inc. | |
|
4112 E Ponce De Leon Ave Clarkston GA 30021-8106 | |
| (404) 298-8998 | |
| Not Available |
| Full Name | Medcura Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4112 E Ponce De Leon Ave, Clarkston, Georgia |
| Authorized Official Name and Position | Jeff Taylor (CEO) |
| Authorized Official Contact | 4042983250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcura Health, Inc. 5582 Memorial Dr Stone Mountain GA 30083-3215 Ph: (404) 298-8998 | Medcura Health, Inc. 4112 E Ponce De Leon Ave Clarkston GA 30021-8106 Ph: (404) 298-8998 |
| NPI Number | 1770286726 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 2961443643 |
|---|---|
| Medicare Enrollment ID | O20230530002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770286726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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