Mr Nghia Trong Phan, PT | |
100 N Macon St, Macon, GA 31210-6563 | |
(478) 200-6970 | |
Not Available |
Full Name | Mr Nghia Trong Phan |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 100 N Macon St, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508349077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT008216 (Georgia) | Primary |
Provider Name | Hughston Clinic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164461190 PECOS PAC ID: 1355254780 Enrollment ID: O20031111000330 |
Mailing Address | Practice Location Address |
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Mr Nghia Trong Phan, PT Po Box 370, Fortson, GA 31808-0370 Ph: (706) 494-3171 | Mr Nghia Trong Phan, PT 100 N Macon St, Macon, GA 31210-6563 Ph: (478) 200-6970 |
The Athletic Therapy & Rehab Institute (atari) Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4660 Riverside Park Blvd, Macon, GA 31210 Phone: 478-474-0240 Fax: 478-474-5043 | |
Paige Parker, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3708 Northside Dr, Macon, GA 31210 Phone: 478-745-4206 | |
Mrs. Roselily Viray, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 439 Ashville Dr, Macon, GA 31210 Phone: 478-757-9321 | |
Noel B Sardoma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 770 Hemlock St, Macon, GA 31201 Phone: 478-633-1040 | |
Nancy Faye Gayton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7440 Thomaston Rd, Macon, GA 31220 Phone: 478-757-1338 Fax: 478-757-8225 | |
Ms. Teresa Long Pierce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4523 Forsyth Rd, Macon, GA 31210 Phone: 478-254-7010 |