OrganizationCenterwell Senior Primary Care Ga Pc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address6435 Bells Ferry Rd # 110, Woodstock, GA 30189-2317(678) 941-6244(407) 447-7120PECOS EnrollmentBased on the most recent information from CMS, provider Centerwell Senior Primary Care Ga Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1689491680Provider TypeOrganizationFull NameCenterwell Senior Primary Care Ga PcOther Name<Unavail>SubpartYesEnumeration Date9/23/2024Last Updated12/17/2024Contact InformationPractice LocationPractice Address6435 Bells Ferry Rd # 110, Woodstock, GA 30189-2317Phone(678) 941-6244Fax(770) 545-6597Mailing LocationMailing Address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168Phone(407) 447-7120Fax(407) 770-0661Authorized OfficialNameMartinez, Angie (Senior Credentialing Professional)Phone(407) 447-7120Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer