| Excelsior Healthcare Partners Llc | |
|
777 W Peachtree St Norcross GA 30071-1868 | |
| (770) 246-6100 | |
| (770) 246-6142 |
| Full Name | Excelsior Healthcare Partners Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 777 W Peachtree St, Norcross, Georgia |
| Authorized Official Name and Position | Selina Zhu (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 7702466100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Healthcare Partners Llc 777 W Peachtree St Norcross GA 30071-1868 Ph: (770) 246-6100 | Excelsior Healthcare Partners Llc 777 W Peachtree St Norcross GA 30071-1868 Ph: (770) 246-6100 |
| NPI Number | 1578305199 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 2062943483 |
|---|---|
| Medicare Enrollment ID | O20241009000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578305199 | NPI | - | NPPES |
| Provider Name | Patrick K Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245761303 PECOS PAC ID: 9537439237 Enrollment ID: I20200806003877 |
| Provider Name | Kelcie Nichole Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891257754 PECOS PAC ID: 5890029045 Enrollment ID: I20241009001848 |
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