| Lily Pham | |
|
2107 N Decatur Rd Suite 328 Decatur GA 30033-5305 | |
| (404) 981-1699 | |
| Not Available |
| Full Name | Lily Pham |
|---|---|
| Speciality | Internal Medicine |
| Location | 2107 N Decatur Rd, Decatur, Georgia |
| Authorized Official Name and Position | Lily Pham (PRESIDENT) |
| Authorized Official Contact | 4049811699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Pham 2107 N Decatur Rd Suite 328 Decatur GA 30033-5305 Ph: () - | Lily Pham 2107 N Decatur Rd Suite 328 Decatur GA 30033-5305 Ph: (404) 981-1699 |
| NPI Number | 1770882797 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/28/2011 |
| Medicare PECOS PAC ID | 4789869389 |
|---|---|
| Medicare Enrollment ID | O20110426000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770882797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 062592 (Georgia) | Primary |
| Provider Name | Lily Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477765790 PECOS PAC ID: 0840369070 Enrollment ID: I20091006000034 |
East Atlanta Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3660 Flat Shoals Rd, Suite 200, Decatur, GA 30034 Phone: 404-244-1813 Fax: 404-244-1831 | |
Nova Physician Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2732 Candler Rd, Decatur, GA 30034 Phone: 706-478-5717 Fax: 706-229-4883 | |
Metro Medical Associates Of Decatur, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1829 Lawrenceville Hwy, Decatur, GA 30033 Phone: 404-292-8335 Fax: 678-904-2649 | |
Snapfinger Woods Family Practice Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5071 Snapfinger Woods Dr, Decatur, GA 30035 Phone: 770-981-0600 Fax: 770-981-0677 | |
Whole Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 W Ponce De Leon Ave, Decatur, GA 30030 Phone: 404-377-9010 Fax: 404-935-0254 | |
Unity Health Systems Of Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4229 Snapfinger Woods Dr, Decatur, GA 30035 Phone: 404-289-0313 Fax: 404-289-0314 | |
Empower Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Swanton Way Ste A, Suite 101, Decatur, GA 30030 Phone: 404-981-6278 |