Dr Nicolas Thong Pham, MD | |
115 Lee Byrd Rd, Loganville, GA 30052-2310 | |
(770) 554-4717 | |
(770) 554-4681 |
Full Name | Dr Nicolas Thong Pham |
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Gender | Male |
Speciality | Internal Medicine |
Location | 115 Lee Byrd Rd, Loganville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083226708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 97811 (Georgia) | Primary |
Entity Name | Gwinnett Physician Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
Mailing Address | Practice Location Address |
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Dr Nicolas Thong Pham, MD 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (770) 554-4717 | Dr Nicolas Thong Pham, MD 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (770) 554-4717 |
Dr. Constance O George-adebayo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3531-3533 Highway 81 South, Loganville, GA 30052 Phone: 770-554-2555 | |
Dr. Saima Syed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Lee Byrd Rd, Loganville, GA 30052 Phone: 770-466-5902 Fax: 770-466-5903 | |
Mrs. Lindsey Danae Rooks, LPN Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3543 Highway 81, Loganville, GA 30052 Phone: 678-615-2382 | |
Dr. John S Carr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3470 Youth Monroe Rd, Loganville, GA 30052 Phone: 678-957-6301 Fax: 678-957-6303 | |
Dr. Mehul Parikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3869 Highway 81, Loganville, GA 30052 Phone: 678-635-8650 | |
Michel Jeannot, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Tara Commons Dr, Loganville, GA 30052 Phone: 678-928-9700 Fax: 770-466-1585 |