| Metacare Inc | |
|
505 Plantation Park Dr Ste A Loganville GA 30052-4144 | |
| (800) 342-2507 | |
| Not Available |
| Full Name | Metacare Inc |
|---|---|
| Speciality | Registered Nurse |
| Location | 505 Plantation Park Dr Ste A, Loganville, Georgia |
| Authorized Official Name and Position | Valerie Whitman (PRESIDENT & CEO) |
| Authorized Official Contact | 7817895167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metacare Inc 146 Mlk Jr Blvd Suite 267 Monroe GA 30655 Ph: (800) 342-2507 | Metacare Inc 505 Plantation Park Dr Ste A Loganville GA 30052-4144 Ph: (800) 342-2507 |
| NPI Number | 1023847662 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Medicare PECOS PAC ID | 7810426913 |
|---|---|
| Medicare Enrollment ID | O20250117001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023847662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 163WG0600X | Registered Nurse - Gerontology | (* (Not Available)) | Primary |
| Provider Name | Steven S Donchey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184628802 PECOS PAC ID: 9133012594 Enrollment ID: I20040207000452 |
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