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Individual

DR. MARIO A CERAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5522
Mailing address
2655 NORTHWINDS PARKWAY, ALPHARETTA,, GA 30009
(770) 643-5522

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101242809
VA
208600000X
Surgery Physician
Primary
32479
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700504
UNITED HEALTHCARE
NC
01
21852
BCBS
NC
01
5589
PARTNERS MEDICARE CHOICE
NC
01
5702377
CIGNA HEALTHCARE
NC
01
5901023
AETNA
NC
01
67401429
CHAMPUS/TRICARE
NC
05
8921852
NC
01
D6987
MEDCOST
NC
01
P00328039
RAILROAD MEDICARE
NC
Enumeration date
12/20/2005
Last updated
06/14/2023
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