Owr Clinic | |
1295 Old Peachtree Rd Nw Ste 270b Suwanee GA 30024-4970 | |
(678) 770-6085 | |
Not Available |
Full Name | Owr Clinic |
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Speciality | Family Medicine |
Location | 1295 Old Peachtree Rd Nw Ste 270b, Suwanee, Georgia |
Authorized Official Name and Position | In Chung (OWNER) |
Authorized Official Contact | 6787706085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Owr Clinic 1295 Old Peachtree Rd Nw Ste 270b Suwanee GA 30024-4970 Ph: (678) 770-6085 | Owr Clinic 1295 Old Peachtree Rd Nw Ste 270b Suwanee GA 30024-4970 Ph: (678) 770-6085 |
NPI Number | 1962180406 |
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Provider Enumeration Date | 07/06/2023 |
Last Update Date | 09/15/2023 |
Medicare PECOS PAC ID | 3274997432 |
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Medicare Enrollment ID | O20230907000717 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962180406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | In Ok Chung |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649948050 PECOS PAC ID: 7214325950 Enrollment ID: I20211028002095 |
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