| Khair Family Practice, Pc | |
|
125 Eagle Spring Dr Stockbridge GA 30281-6328 | |
| (770) 213-3366 | |
| (404) 962-6943 |
| Full Name | Khair Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Eagle Spring Dr, Stockbridge, Georgia |
| Authorized Official Name and Position | Sam Khair (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7702133366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khair Family Practice, Pc 125 Eagle Spring Dr Stockbridge GA 30281-6328 Ph: (770) 213-3366 | Khair Family Practice, Pc 125 Eagle Spring Dr Stockbridge GA 30281-6328 Ph: (770) 213-3366 |
| NPI Number | 1699190603 |
|---|---|
| Provider Enumeration Date | 02/27/2014 |
| Last Update Date | 02/27/2014 |
| Medicare PECOS PAC ID | 9133343551 |
|---|---|
| Medicare Enrollment ID | O20140604002434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699190603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sam Khair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326038142 PECOS PAC ID: 2264325166 Enrollment ID: I20110909002703 |
| Provider Name | Latoya N Pinkston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477860450 PECOS PAC ID: 5799950473 Enrollment ID: I20111207000685 |
| Provider Name | Nancy Np Raborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376892802 PECOS PAC ID: 3173764974 Enrollment ID: I20130719000663 |
| Provider Name | Christen Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386156586 PECOS PAC ID: 5890054860 Enrollment ID: I20180119001247 |
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