Concur Primary Care Llc | |
5395 Jimmy Carter Blvd Ste 500a Norcross GA 30093-1502 | |
(470) 822-0101 | |
(470) 822-3701 |
Full Name | Concur Primary Care Llc |
---|---|
Speciality | Internal Medicine |
Location | 5395 Jimmy Carter Blvd Ste 500a, Norcross, Georgia |
Authorized Official Name and Position | Nam Huynh (OWNER) |
Authorized Official Contact | 4708220101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Concur Primary Care Llc 11305 Bell Rd Ste 105 Johns Creek GA 30097-9504 Ph: (470) 822-0101 | Concur Primary Care Llc 5395 Jimmy Carter Blvd Ste 500a Norcross GA 30093-1502 Ph: (470) 822-0101 |
NPI Number | 1366293433 |
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Provider Enumeration Date | 03/28/2024 |
Last Update Date | 06/06/2024 |
Medicare PECOS PAC ID | 6406399807 |
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Medicare Enrollment ID | O20240613001953 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366293433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nam C Huynh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073041695 PECOS PAC ID: 4082967484 Enrollment ID: I20200619001771 |
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