| Segen Medical Group, P.c. | |
|
3950 Austell Rd Austell GA 30106-1121 | |
| (770) 939-3301 | |
| (770) 939-3331 |
| Full Name | Segen Medical Group, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3950 Austell Rd, Austell, Georgia |
| Authorized Official Name and Position | Yacob Ghebremeskel (OWNER) |
| Authorized Official Contact | 7709393301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Segen Medical Group, P.c. Po Box 671077 Marietta GA 30066-0135 Ph: (770) 939-3301 | Segen Medical Group, P.c. 3950 Austell Rd Austell GA 30106-1121 Ph: (770) 939-3301 |
| NPI Number | 1013096882 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013096882 | NPI | - | NPPES |
| 000799719D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 45801 (Georgia) | Primary |
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