| San Felipe Telemedicine Services Llc | |
|
5280 Buford Hwy Ne Ste H Doraville GA 30340-1117 | |
| (470) 349-8781 | |
| Not Available |
| Full Name | San Felipe Telemedicine Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5280 Buford Hwy Ne Ste H, Doraville, Georgia |
| Authorized Official Name and Position | Jose Flores (DIRECTOR) |
| Authorized Official Contact | 8325389188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Felipe Telemedicine Services Llc 5280 Buford Hwy Ne Ste H Doraville GA 30340-1117 Ph: () - | San Felipe Telemedicine Services Llc 5280 Buford Hwy Ne Ste H Doraville GA 30340-1117 Ph: (470) 349-8781 |
| NPI Number | 1790405322 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 2062882541 |
|---|---|
| Medicare Enrollment ID | O20221227000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790405322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nneka I Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992153654 PECOS PAC ID: 4789962507 Enrollment ID: I20221227001409 |
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