| Panohealth Llc | |
|
3607 Parkway Ln Ste 300 Peachtree Corners GA 30092-2802 | |
| (404) 712-2012 | |
| Not Available |
| Full Name | Panohealth Llc |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 3607 Parkway Ln Ste 300, Peachtree Corners, Georgia |
| Authorized Official Name and Position | Kelly Whittaker (DIRECTOR HEALTH MANAGEMENT DIVISION) |
| Authorized Official Contact | 4047212012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panohealth Llc 3607 Parkway Ln Ste 300 Peachtree Corners GA 30092-2802 Ph: (404) 712-2012 | Panohealth Llc 3607 Parkway Ln Ste 300 Peachtree Corners GA 30092-2802 Ph: (404) 712-2012 |
| NPI Number | 1467043877 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 04/19/2021 |
| Medicare PECOS PAC ID | 4385053800 |
|---|---|
| Medicare Enrollment ID | O20210512002107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467043877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Primary |
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