| Youthfulmd Integrative Health Llc | |
|
3105 Creekside Village Dr Nw Ste 801 Kennesaw GA 30144-4218 | |
| (781) 475-2735 | |
| Not Available |
| Full Name | Youthfulmd Integrative Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3105 Creekside Village Dr Nw Ste 801, Kennesaw, Georgia |
| Authorized Official Name and Position | Ndidiamaka O Obadan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7814752735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Youthfulmd Integrative Health Llc 3105 Creekside Village Dr Nw Ste 801 Kennesaw GA 30144-4218 Ph: (781) 475-2735 | Youthfulmd Integrative Health Llc 3105 Creekside Village Dr Nw Ste 801 Kennesaw GA 30144-4218 Ph: (781) 475-2735 |
| NPI Number | 1548918196 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 07/14/2023 |
| Medicare PECOS PAC ID | 0244697399 |
|---|---|
| Medicare Enrollment ID | O20230605001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548918196 | NPI | - | NPPES |
| Provider Name | Ndidiamaka Obadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225385248 PECOS PAC ID: 4981912847 Enrollment ID: I20230605001482 |
Mcmullen Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Shiloh Rd Nw, Kennesaw, GA 30144 Phone: 678-884-0291 Fax: 678-884-0291 | |
Revive Wellness Of Kennesaw Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2819 Dallas St Nw, Kennesaw, GA 30144 Phone: 770-401-6686 | |
Laser Vision Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Chastain Rd Nw, Suite 324, Kennesaw, GA 30144 Phone: 636-534-2300 | |
Peachtree Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6110 Pine Mountain Rd Nw Ste 201, Kennesaw, GA 30152 Phone: 229-563-3738 | |
Kennesaw Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 Chastain Rd Nw Ste 1060, Kennesaw, GA 30144 Phone: 770-800-3353 Fax: 770-575-8361 | |
The Perfect Arch Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Roberts Ct Nw Ste 10, Kennesaw, GA 30144 Phone: 678-398-9539 | |
Kennesaw Mountain Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 Kennesaw Due West Rd Nw, Building 600 Suite 625, Kennesaw, GA 30152 Phone: 770-422-5880 |