Advanced Medical Care | |
1180 Mckendree Church Rd Ste 202 Lawrenceville GA 30043-5207 | |
(470) 292-3122 | |
(404) 738-1614 |
Full Name | Advanced Medical Care |
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Speciality | Internal Medicine |
Location | 1180 Mckendree Church Rd Ste 202, Lawrenceville, Georgia |
Authorized Official Name and Position | Dong Vien Dang (OWNER) |
Authorized Official Contact | 3364203794 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Medical Care 1180 Mckendree Church Rd Ste 202 Lawrenceville GA 30043-5207 Ph: (470) 292-3122 | Advanced Medical Care 1180 Mckendree Church Rd Ste 202 Lawrenceville GA 30043-5207 Ph: (470) 292-3122 |
NPI Number | 1083344576 |
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Provider Enumeration Date | 06/16/2022 |
Last Update Date | 10/25/2024 |
Medicare PECOS PAC ID | 8022492792 |
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Medicare Enrollment ID | O20220829003795 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083344576 | NPI | - | NPPES |
Provider Name | Dong Vien Dang |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1275875551 PECOS PAC ID: 3375864192 Enrollment ID: I20210427001442 |
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