| Trust Health Md | |
|
1846 Old Norcross Road Lawrenceville GA 30044 | |
| (404) 738-7878 | |
| Not Available |
| Full Name | Trust Health Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 1846 Old Norcross Road, Lawrenceville, Georgia |
| Authorized Official Name and Position | Winston Samuels (PHYSICIAN) |
| Authorized Official Contact | 3059751415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trust Health Md 1846 Old Norcross Road Lawrenceville GA 30044 Ph: (404) 738-7878 | Trust Health Md 1846 Old Norcross Road Lawrenceville GA 30044 Ph: (404) 738-7878 |
| NPI Number | 1780360651 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Medicare PECOS PAC ID | 6608213582 |
|---|---|
| Medicare Enrollment ID | O20240327002935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780360651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Winston L Samuels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306069380 PECOS PAC ID: 0749353423 Enrollment ID: I20080715000247 |
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