| Pediatrics And Adult Medicine Inc. | |
|
4153 Flat Shoals Pkwy Bld C Suite 300b Decatur GA 30034-4106 | |
| (404) 386-6510 | |
| (404) 500-2097 |
| Full Name | Pediatrics And Adult Medicine Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4153 Flat Shoals Pkwy Bld C, Decatur, Georgia |
| Authorized Official Name and Position | Michele Sewell (OWNER) |
| Authorized Official Contact | 7706397993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrics And Adult Medicine Inc. 4153 Flat Shoals Pkwy Bld C Suite 300b Decatur GA 30034-4106 Ph: (404) 386-6510 | Pediatrics And Adult Medicine Inc. 4153 Flat Shoals Pkwy Bld C Suite 300b Decatur GA 30034-4106 Ph: (404) 386-6510 |
| NPI Number | 1598125312 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 03/03/2017 |
| Medicare PECOS PAC ID | 9436433893 |
|---|---|
| Medicare Enrollment ID | O20170302000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598125312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Michele A Sewell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649205642 PECOS PAC ID: 0547207193 Enrollment ID: I20050414000648 |
East Atlanta Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3660 Flat Shoals Rd, Suite 200, Decatur, GA 30034 Phone: 404-244-1813 Fax: 404-244-1831 | |
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