| Sandy Springs Internal Medicine, P.c. | |
|
755 Mount Vernon Hwy Ne Ste 500 Atlanta GA 30328-4280 | |
| (678) 222-3145 | |
| (404) 252-3720 |
| Full Name | Sandy Springs Internal Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 755 Mount Vernon Hwy Ne Ste 500, Atlanta, Georgia |
| Authorized Official Name and Position | Kim Emory (OFFICE MANAGER) |
| Authorized Official Contact | 6782223145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Springs Internal Medicine, P.c. 755 Mount Vernon Hwy Ne Ste 500 Atlanta GA 30328-4280 Ph: (678) 222-3145 | Sandy Springs Internal Medicine, P.c. 755 Mount Vernon Hwy Ne Ste 500 Atlanta GA 30328-4280 Ph: (678) 222-3145 |
| NPI Number | 1518949171 |
|---|---|
| Provider Enumeration Date | 11/18/2005 |
| Last Update Date | 11/06/2020 |
| Medicare PECOS PAC ID | 0547162380 |
|---|---|
| Medicare Enrollment ID | O20040122001019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518949171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 04359 (Georgia) | Primary |
| Provider Name | Fredd E Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346263175 PECOS PAC ID: 5799762001 Enrollment ID: I20040706000326 |
| Provider Name | W Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437262458 PECOS PAC ID: 0648277491 Enrollment ID: I20061108000654 |
| Provider Name | Sandy B Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932194115 PECOS PAC ID: 2163324914 Enrollment ID: I20081030000145 |
| Provider Name | William J Gower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053306399 PECOS PAC ID: 7618879461 Enrollment ID: I20100812000524 |
| Provider Name | Peter W Gutschenritter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689669145 PECOS PAC ID: 1254233091 Enrollment ID: I20101027000013 |
| Provider Name | Kelly Jung Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225141237 PECOS PAC ID: 6709788540 Enrollment ID: I20101207000022 |
| Provider Name | Thomas S. Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932182169 PECOS PAC ID: 9436051281 Enrollment ID: I20101222000175 |
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