Mr Jong K Song, MD | |
6185 Buford Hwy Bldg G, Norcross, GA 30071 | |
(770) 446-0929 | |
(770) 446-6977 |
Full Name | Mr Jong K Song |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 6185 Buford Hwy Bldg G, Norcross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568511301 | NPI | - | NPPES |
003149479B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 15637 (Georgia) | Primary |
Entity Name | Center For Pan Asian Community Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336493311 PECOS PAC ID: 1355569765 Enrollment ID: O20140827000843 |
Mailing Address | Practice Location Address |
---|---|
Mr Jong K Song, MD 6185 Buford Hwy, Bldg G, Peachtree Corners, GA 30071-2350 Ph: (770) 446-0929 | Mr Jong K Song, MD 6185 Buford Hwy Bldg G, Norcross, GA 30071 Ph: (770) 446-0929 |
Dr. Michelle Chevalier, MD, MPH Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4864 Jimmy Carter Blvd, #203, Norcross, GA 30093 Phone: 770-806-0162 | |
Dr. Nicholas Kongoasa, MD, FACOG Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3965 Holcomb Bridge Rd Ste 100, Norcross, GA 30092 Phone: 770-450-8677 Fax: 678-792-8927 | |
Mrs. Sylvia Clayton Johnson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4028 Holcomb Bridge Rd, Norcross, GA 30092 Phone: 770-441-0757 Fax: 770-441-0845 | |
Dr. Jae K Park, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6185 Buford Hwy, Suite B-104, Norcross, GA 30071 Phone: 770-416-0099 Fax: 770-416-0022 | |
Chester A Burks, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4775 Jimmy Carter Blvd, Suite 101, Norcross, GA 30093 Phone: 770-638-8446 Fax: 770-806-0901 | |
Neale P Freeman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5395 Jimmy Carter Blvd, Suite 500, Norcross, GA 30093 Phone: 678-585-4787 Fax: 470-375-8759 |