| Medico Familiar Inc. | |
|
5345 Jimmy Carter Blvd Suite I Norcross GA 30093-1524 | |
| (770) 409-7338 | |
| (770) 409-7339 |
| Full Name | Medico Familiar Inc. |
|---|---|
| Speciality | General Practice |
| Location | 5345 Jimmy Carter Blvd, Norcross, Georgia |
| Authorized Official Name and Position | Shah Inayat (OWNER) |
| Authorized Official Contact | 7704097338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medico Familiar Inc. 5345 Jimmy Carter Blvd Suite I Norcross GA 30093-1524 Ph: (770) 409-7338 | Medico Familiar Inc. 5345 Jimmy Carter Blvd Suite I Norcross GA 30093-1524 Ph: (770) 409-7338 |
| NPI Number | 1154582278 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 06/20/2008 |
| Medicare PECOS PAC ID | 9537239652 |
|---|---|
| Medicare Enrollment ID | O20080623000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154582278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 047908 (Georgia) | Primary |
| Provider Name | Shah Inayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265656789 PECOS PAC ID: 7810067931 Enrollment ID: I20080602000465 |
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