| Meridian Internal Medicine And Primary Care Inc | |
|
3890 Redwine Rd Sw Ste 210 Atlanta GA 30331-5583 | |
| (404) 691-6688 | |
| Not Available |
| Full Name | Meridian Internal Medicine And Primary Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3890 Redwine Rd Sw Ste 210, Atlanta, Georgia |
| Authorized Official Name and Position | Kay Olukayode Oso (MGR) |
| Authorized Official Contact | 6784855705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Internal Medicine And Primary Care Inc 1029 N Peachtree Pkwy Ste 376 Peachtree City GA 30269-4210 Ph: (404) 691-6688 | Meridian Internal Medicine And Primary Care Inc 3890 Redwine Rd Sw Ste 210 Atlanta GA 30331-5583 Ph: (404) 691-6688 |
| NPI Number | 1366795973 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 11/14/2012 |
| Medicare PECOS PAC ID | 3870745177 |
|---|---|
| Medicare Enrollment ID | O20121213000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366795973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 044049 (Georgia) | Primary |
| Provider Name | Kay O Oso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497898662 PECOS PAC ID: 1759407893 Enrollment ID: I20100927001030 |
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