Lam Trong Phan, PA | |
677 Church St Ne, Marietta, GA 30060-1101 | |
(770) 794-0477 | |
(770) 794-3108 |
Full Name | Lam Trong Phan |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 34 Years |
Location | 677 Church St Ne, Marietta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538114582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 002176 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Georgia Anesthesiologists, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740299197 PECOS PAC ID: 7315835063 Enrollment ID: O20040305000398 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
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Lam Trong Phan, PA 3120 Swallow Dr Ne, Marietta, GA 30066-3001 Ph: () - | Lam Trong Phan, PA 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477 |
Mrs. Torey Charlise Davis-bogan, SA-C, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3105 Rome Ct Sw, Marietta, GA 30064 Phone: 317-664-0771 | |
Yumei Manzano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 699 Church St Ne Ste 340, Marietta, GA 30060 Phone: 678-355-1620 | |
Mrs. Lisa M Lewis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376 | |
Erin Alexandra Oweida, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 Kennestone Hospital Blvd, Marietta, GA 30060 Phone: 770-793-7900 | |
Ms. Megan Nichole Dalton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060 Phone: 770-281-5100 Fax: 678-581-7100 | |
Jonathan Collier Stone, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1044 Azalea Cir, Marietta, GA 30062 Phone: 770-354-0584 | |
Raajan Raja Arulampalam, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 |