| Sy Med Llc | |
|
2926 Mountain Industrial Blvd Tucker GA 30084-3012 | |
| (678) 971-2020 | |
| (678) 666-1300 |
| Full Name | Sy Med Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2926 Mountain Industrial Blvd, Tucker, Georgia |
| Authorized Official Name and Position | Syamala Devi Erramili (PHYSICIAN) |
| Authorized Official Contact | 6789712020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sy Med Llc 2926 Mountain Industrial Blvd Tucker GA 30084-3012 Ph: (678) 971-2020 | Sy Med Llc 2926 Mountain Industrial Blvd Tucker GA 30084-3012 Ph: (678) 971-2020 |
| NPI Number | 1679754337 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 04/01/2014 |
| Medicare PECOS PAC ID | 6406873421 |
|---|---|
| Medicare Enrollment ID | O20051028000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679754337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 047896 (Georgia) | Primary |
| Provider Name | Syamala Devi Erramilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891706974 PECOS PAC ID: 4486671401 Enrollment ID: I20051031000194 |
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