Mercado, Ada Ivette
Mercado, Ada Ivette is an individual health care provider with primary practice located at 687 Marietta Hwy , Canton GA 30114-2608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Mercado, Ada Ivette can be contacted via phone (770) 704-1955.Contact Information
Primary practice address
687 Marietta Hwy
Canton GA 30114-2608
Phone: (770) 704-1955
Fax: (770) 720-2388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 51357 | Georgia |
Profile Details
| NPI number | 1982620811 |
|---|---|
| LBN Legal business name | Mercado, Ada Ivette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jan 19th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982620811 | NPPES |
| Georgia | MEDICAID | 000967029K | |
| Georgia | MEDICAID | 000967029M | |
| Georgia | MEDICAID | 000967029I | |
| Georgia | MEDICAID | 000967029L | |
| Georgia | MEDICAID | 000967029G |
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