DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MASON PRIMARY CARE CLINIC, LP

MEDICARE: MASON PRIMARY CARE CLINIC, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952351116
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASON PRIMARY CARE CLINIC, LP
Provider Business Mailing Address
First Line : PO BOX 248
Second Line :
City : DULUTH
State : GA
Zip : 30096-0005
Country : US
Telephone Number : 770-476-3636
Fax Number : 770-476-5845
Provider Business Practice Location Address
First Line : 3500 MCCLURE BRIDGE RD
Second Line :
City : DULUTH
State : GA
Zip : 30096-3131
Country : US
Telephone Number : 770-476-3636
Fax Number : 770-476-5845
Authorized Official
Title or Position : BILLING MANAGER
Name : MISSY MARTIN
Credential :
Telephone Number : 770-622-3114
Provider Enumeration Date : 05/10/2006
Last Update Date : 01/13/2010

Similar Medicare Providers

1285625848 — DR. WILLIAM H. COX D.O.
Practice Location Address:
3500 MCCLURE BRIDGE RD
DULUTH, GA
30096-3131
Practice Phone: 770-476-3636
Practice Fax: 770-476-5845
1598712713 — DEBORAH SCHULTE LONG CFNP
Practice Location Address:
3500 MCCLURE BRIDGE RD
DULUTH, GA
30096-3131
Practice Phone: 770-476-3636
Practice Fax: 770-476-5845
1013000777 — BARBARA MITCHELL WILSON CRNFA
Practice Location Address:
3500 MCCLURE BRIDGE RD
DULUTH, GA
30096-3131
Practice Phone: 770-476-7047
Practice Fax: 770-476-5845
1942362868 — SCOTT CHRISTOPHER LEETH MD
Practice Location Address:
3500 MCCLURE BRIDGE RD
DULUTH, GA
30096-3131
Practice Phone: 770-476-3636
Practice Fax: 770-476-5845
1235490780 — SREEDEVI VELUVARTI AVDHANI M.D
Practice Location Address:
3500 MCCLURE BRIDGE RD
DULUTH, GA
30096-3131
Practice Phone: 770-476-3636
Practice Fax: 770-476-5845
1497174494 — DR. FAHAD ULLAH KHAN M.D.
Practice Location Address:
3500 MCCLURE BRIDGE RD
DULUTH, GA
30096-3131
Practice Phone: 770-476-3636
Practice Fax: 770-476-5845

Directions to “MASON PRIMARY CARE CLINIC, LP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.