| Samuel C. Erinne MD | |
|
1029 Cleveland Ave East Point GA 30344-6719 | |
| (404) 768-4626 | |
| (404) 768-4631 |
| Full Name | Samuel C. Erinne MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 1029 Cleveland Ave, East Point, Georgia |
| Authorized Official Name and Position | Nicky Battle-bashir (OFFICE MANAGER) |
| Authorized Official Contact | 4047684626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel C. Erinne MD 1029 Cleveland Ave East Point GA 30344-6719 Ph: (404) 768-4626 | Samuel C. Erinne MD 1029 Cleveland Ave East Point GA 30344-6719 Ph: (404) 768-4626 |
| NPI Number | 1366624520 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 07/11/2012 |
| Medicare PECOS PAC ID | 4082784046 |
|---|---|
| Medicare Enrollment ID | O20080603000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366624520 | NPI | - | NPPES |
| 00508483G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 035622 (Georgia) | Primary |
| Provider Name | Samuel C Erinne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972555282 PECOS PAC ID: 9830182518 Enrollment ID: I20040407000912 |
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East Point Primary Care Center, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Cleveland Ave, Suite 2-d, East Point, GA 30344 Phone: 404-684-7111 Fax: 404-684-7112 |
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