| Tri County Internal Medicine, Pc | |
|
4720 Nelson Brogdon Blvd Sugar Hill GA 30518-3480 | |
| (770) 945-1990 | |
| (678) 745-4139 |
| Full Name | Tri County Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4720 Nelson Brogdon Blvd, Sugar Hill, Georgia |
| Authorized Official Name and Position | Susan D Coker (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7709451990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Internal Medicine, Pc 4720 Nelson Brogdon Blvd Sugar Hill GA 30518-3480 Ph: (770) 945-1990 | Tri County Internal Medicine, Pc 4720 Nelson Brogdon Blvd Sugar Hill GA 30518-3480 Ph: (770) 945-1990 |
| NPI Number | 1528097318 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 04/18/2008 |
| Medicare PECOS PAC ID | 9830187988 |
|---|---|
| Medicare Enrollment ID | O20040505001409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528097318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher Borrego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811999543 PECOS PAC ID: 5890769780 Enrollment ID: I20040825001149 |
| Provider Name | Mary E Ostaszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003013236 PECOS PAC ID: 0042305245 Enrollment ID: I20071003000297 |
| Provider Name | Robert T Dambach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538161252 PECOS PAC ID: 2567436454 Enrollment ID: I20091228000296 |
| Provider Name | Melissa Schweiker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528408598 PECOS PAC ID: 8729229091 Enrollment ID: I20130729000901 |
| Provider Name | Jorge Montero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457022147 PECOS PAC ID: 2769870351 Enrollment ID: I20211101002710 |
Medcare General, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Peachtree Industrial Blvd, Suite100, Sugar Hill, GA 30518 Phone: 770-856-8736 | |
Gwinnett Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4585 Nelson Brogdon Blvd, Sugar Hill, GA 30518 Phone: 770-932-0547 Fax: 770-932-4035 | |
Legacy Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5422 Cumming Hwy Ste 104, Sugar Hill, GA 30518 Phone: 678-765-7147 Fax: 877-991-5350 | |
Suwanahoochee Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Peachtree Industrial Blvd Ste A, Sugar Hill, GA 30518 Phone: 678-765-8622 Fax: 678-765-8621 |