Organization
MED FAST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MIKRUT MD (PRESIDENT)
(770) 554-5533
Entity
Organization
Contact information
Practice address
902 ATHENS HWY, LOGANVILLE, GA 30052-4904
(770) 554-5533
(770) 554-8129
Mailing address
902 ATHENS HWY, LOGANVILLE, GA 30052-4904
(770) 554-5533
(770) 554-8129
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
29730
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6328
MEDICARE GROUP
GA
Enumeration date
09/10/2007
Last updated
09/21/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us