| Northeast Family Practice P.c | |
|
4720 Peachtree Industrial Blvd Ste 202 Norcross GA 30071-5735 | |
| (770) 514-8880 | |
| Not Available |
| Full Name | Northeast Family Practice P.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 4720 Peachtree Industrial Blvd, Norcross, Georgia |
| Authorized Official Name and Position | Regina Jianhua Wang (PRESIDENT) |
| Authorized Official Contact | 4048197261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Family Practice P.c 4720 Peachtree Industrial Blvd Ste 202 Norcross GA 30071-5735 Ph: (770) 514-8880 | Northeast Family Practice P.c 4720 Peachtree Industrial Blvd Ste 202 Norcross GA 30071-5735 Ph: (770) 514-8880 |
| NPI Number | 1396099578 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 11/09/2012 |
| Medicare PECOS PAC ID | 8426201294 |
|---|---|
| Medicare Enrollment ID | O20130102000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396099578 | NPI | - | NPPES |
| 00951475A | Medicaid | GA | |
| 08BBWJW | Other | GA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 050568 (Georgia) | Primary |
| Provider Name | Regina J Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073504643 PECOS PAC ID: 6103964242 Enrollment ID: I20091111000222 |
Lifeline Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3330 Peachtree Corners Cir Ste H, Norcross, GA 30092 Phone: 678-580-0950 Fax: 678-580-0991 | |
Pruitthealth Physicians Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1626 Jeurgens Ct, Norcross, GA 30093 Phone: 770-279-6200 Fax: 770-925-4619 | |
Angelcare Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5180 Jimmy Carter Blvd, Norcross, GA 30093 Phone: 770-446-1555 Fax: 678-646-1969 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Beaver Ruin Road, Suite 175, Norcross, GA 30071 Phone: 770-441-0444 Fax: 770-449-7962 | |
Johns Creek Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Peachtree Industrial Blvd, Suite 360, Norcross, GA 30071 Phone: 770-441-2300 Fax: 866-910-5954 | |
Care Innovations, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Holcomb Bridge Rd Ste 226, Norcross, GA 30092 Phone: 770-451-7996 Fax: 770-451-7995 | |
Medico Familiar Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5345 Jimmy Carter Blvd, Suite I, Norcross, GA 30093 Phone: 770-409-7338 Fax: 770-409-7339 |