| North Fulton Internal Medicine Group | |
|
2500 Hospital Blvd Suite 250 Roswell GA 30076-4907 | |
| (770) 442-1111 | |
| (770) 740-2990 |
| Full Name | North Fulton Internal Medicine Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Hospital Blvd, Roswell, Georgia |
| Authorized Official Name and Position | Charity Q Boulton (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7704421111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Fulton Internal Medicine Group 2500 Hospital Blvd Suite 250 Roswell GA 30076-4907 Ph: (770) 442-1111 | North Fulton Internal Medicine Group 2500 Hospital Blvd Suite 250 Roswell GA 30076-4907 Ph: (770) 442-1111 |
| NPI Number | 1396708087 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8628962925 |
|---|---|
| Medicare Enrollment ID | O20040209000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396708087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Philip G Huff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972592632 PECOS PAC ID: 9032003348 Enrollment ID: I20100823000332 |
| Provider Name | Romina Ghafarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932696085 PECOS PAC ID: 6800145533 Enrollment ID: I20210802000881 |
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