Tran Medical Clinic Pc | |
605 Beaver Ruin Rd Nw Ste C Lilburn GA 30047-3430 | |
(770) 277-7202 | |
(770) 277-3270 |
Full Name | Tran Medical Clinic Pc |
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Speciality | Clinic/Center |
Location | 605 Beaver Ruin Rd Nw Ste C, Lilburn, Georgia |
Authorized Official Name and Position | Trung D Tran (PRESIDENT) |
Authorized Official Contact | 7702777202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tran Medical Clinic Pc 605 Beaver Ruin Rd Nw Ste C Lilburn GA 30047-3430 Ph: (770) 277-7202 | Tran Medical Clinic Pc 605 Beaver Ruin Rd Nw Ste C Lilburn GA 30047-3430 Ph: (770) 277-7202 |
NPI Number | 1164066122 |
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Provider Enumeration Date | 11/03/2019 |
Last Update Date | 12/14/2021 |
Medicare PECOS PAC ID | 4981005071 |
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Medicare Enrollment ID | O20210628000359 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164066122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Trung D Tran |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932202983 PECOS PAC ID: 8921038399 Enrollment ID: I20050816000309 |
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