| Ko-am Gwinnett Medical | |
|
6062 Buford Hwy Suite 114 Norcross GA 30071-2424 | |
| (770) 557-0203 | |
| (678) 395-5453 |
| Full Name | Ko-am Gwinnett Medical |
|---|---|
| Speciality | General Practice |
| Location | 6062 Buford Hwy, Norcross, Georgia |
| Authorized Official Name and Position | Jong Sang Won (OWNER) |
| Authorized Official Contact | 7705570203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ko-am Gwinnett Medical 6062 Buford Hwy Suite 114 Norcross GA 30071-2424 Ph: (770) 557-0203 | Ko-am Gwinnett Medical 6062 Buford Hwy Suite 114 Norcross GA 30071-2424 Ph: (770) 557-0203 |
| NPI Number | 1588935589 |
|---|---|
| Provider Enumeration Date | 01/23/2012 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588935589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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