| Young Won Kang M.d. P.c. | |
|
4855 River Green Pkwy #140 Duluth GA 30096-8336 | |
| (678) 417-0077 | |
| (678) 417-0337 |
| Full Name | Young Won Kang M.d. P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4855 River Green Pkwy, Duluth, Georgia |
| Authorized Official Name and Position | Young W Kang (PRESIDENT) |
| Authorized Official Contact | 6784170077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Won Kang M.d. P.c. 4855 River Green Pkwy #140 Duluth GA 30096-8336 Ph: (678) 417-0077 | Young Won Kang M.d. P.c. 4855 River Green Pkwy #140 Duluth GA 30096-8336 Ph: (678) 417-0077 |
| NPI Number | 1447438874 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 03/07/2008 |
| Medicare PECOS PAC ID | 6002830155 |
|---|---|
| Medicare Enrollment ID | O20060117000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447438874 | NPI | - | NPPES |
| GRP7537 | Other | GA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Young Won Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811946866 PECOS PAC ID: 7618937541 Enrollment ID: I20060213000210 |
| Provider Name | Annie H Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194165944 PECOS PAC ID: 4082900634 Enrollment ID: I20180111000172 |
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