| Safe Haven Medical Services | |
|
444 Racetrack Rd Mcdonough GA 30252-6837 | |
| (470) 839-6461 | |
| (470) 319-4983 |
| Full Name | Safe Haven Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 444 Racetrack Rd, Mcdonough, Georgia |
| Authorized Official Name and Position | Kariba Carter (NURSE PRACTITIONER) |
| Authorized Official Contact | 4708396461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven Medical Services 444 Racetrack Rd Mcdonough GA 30252-6837 | Safe Haven Medical Services 444 Racetrack Rd Mcdonough GA 30252-6837 Ph: (470) 839-6461 |
| NPI Number | 1528673514 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Medicare PECOS PAC ID | 3173936994 |
|---|---|
| Medicare Enrollment ID | O20210114002651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528673514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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