| My Care Clinic, Llc | |
|
3941 Holcomb Bridge Rd Ste 100 Peachtree Corners GA 30092-2292 | |
| (678) 221-3333 | |
| Not Available |
| Full Name | My Care Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3941 Holcomb Bridge Rd Ste 100, Peachtree Corners, Georgia |
| Authorized Official Name and Position | Rasa Teytel (OWNER) |
| Authorized Official Contact | 6784625745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Care Clinic, Llc 2408 Leisure Lake Dr Atlanta GA 30338-5319 Ph: (678) 860-8422 | My Care Clinic, Llc 3941 Holcomb Bridge Rd Ste 100 Peachtree Corners GA 30092-2292 Ph: (678) 221-3333 |
| NPI Number | 1760234363 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 06/05/2024 |
| Medicare PECOS PAC ID | 7113466517 |
|---|---|
| Medicare Enrollment ID | O20240829001907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760234363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dmitriy M Pelishev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457400251 PECOS PAC ID: 9436246659 Enrollment ID: I20091028000423 |
| Provider Name | Rasa A Teytel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780238048 PECOS PAC ID: 6204375603 Enrollment ID: I20240830002033 |
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Suburban Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4989 Peachtree Pkwy Ste 100, Peachtree Corners, GA 30092 Phone: 770-582-1300 Fax: 770-582-1317 | |
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