| Sugarloaf Medical P.c. | |
|
1300 Peachtree Industrial Blvd Unit 4203 Suwanee GA 30024-4539 | |
| (770) 831-3018 | |
| (770) 831-3669 |
| Full Name | Sugarloaf Medical P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 Peachtree Industrial Blvd, Suwanee, Georgia |
| Authorized Official Name and Position | Shukri George Makhlouf (DOCTOR, CEO) |
| Authorized Official Contact | 7707138663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugarloaf Medical P.c. 1300 Peachtree Industrial Blvd Unit 4203 Suwanee GA 30024-4539 Ph: (770) 831-3018 | Sugarloaf Medical P.c. 1300 Peachtree Industrial Blvd Unit 4203 Suwanee GA 30024-4539 Ph: (770) 831-3018 |
| NPI Number | 1255483111 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 10/02/2015 |
| Medicare PECOS PAC ID | 6305923871 |
|---|---|
| Medicare Enrollment ID | O20080408000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255483111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 057537 (Georgia) | Primary |
| Provider Name | Shukri George Makhlouf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679503577 PECOS PAC ID: 1153423918 Enrollment ID: I20070226000064 |
| Provider Name | Amy E Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326264904 PECOS PAC ID: 8527142942 Enrollment ID: I20080225000341 |
| Provider Name | Alana Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619203635 PECOS PAC ID: 4284772682 Enrollment ID: I20121212000544 |
| Provider Name | Amar Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427468347 PECOS PAC ID: 5890083752 Enrollment ID: I20181008002406 |
| Provider Name | Betty Anne Mincey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518956242 PECOS PAC ID: 5395750954 Enrollment ID: I20190128000195 |
| Provider Name | Nicholas Dallas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144653494 PECOS PAC ID: 4789989922 Enrollment ID: I20191228000296 |
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