Atlanta Prime Med | |
5008 Buford Hwy Suite A Chamblee GA 30341-3531 | |
(770) 451-1146 | |
Not Available |
Full Name | Atlanta Prime Med |
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Speciality | Clinic/Center |
Location | 5008 Buford Hwy, Chamblee, Georgia |
Authorized Official Name and Position | Shi-chieh Chang (MD) |
Authorized Official Contact | 7704511146 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlanta Prime Med 5008 Buford Hwy Suite A Chamblee GA 30341-3531 Ph: () - | Atlanta Prime Med 5008 Buford Hwy Suite A Chamblee GA 30341-3531 Ph: (770) 451-1146 |
NPI Number | 1942642616 |
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Provider Enumeration Date | 07/23/2013 |
Last Update Date | 07/23/2013 |
Medicare PECOS PAC ID | 9537393459 |
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Medicare Enrollment ID | O20131009000493 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942642616 | NPI | - | NPPES |
000312023A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Shi Cheih Chang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619039476 PECOS PAC ID: 8426282344 Enrollment ID: I20131009000559 |
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