| Dr Nicolas Thong Pham, MD | |
| 
					115 Lee Byrd Rd, Loganville, GA 30052-2310  | |
| (770) 554-4717 | |
| (770) 554-4681 | 
| Full Name | Dr Nicolas Thong Pham | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 115 Lee Byrd Rd, Loganville, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083226708 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 97811 (Georgia) | Primary | 
| Entity Name | Gwinnett Physician Group, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nicolas Thong Pham, MD 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (770) 554-4717  | Dr Nicolas Thong Pham, MD 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (770) 554-4717  | 
Dr. Constance O George-adebayo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3531-3533 Highway 81 South, Loganville, GA 30052 Phone: 770-554-2555  | |
Dr. Saima Syed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Lee Byrd Rd, Loganville, GA 30052 Phone: 770-466-5902 Fax: 770-466-5903  | |
Christiana Asare,  Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 255 Wild Barley Way, Loganville, GA 30052 Phone: 404-542-2014  | |
Mrs. Lindsey Danae Rooks, LPN Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3543 Highway 81, Loganville, GA 30052 Phone: 678-615-2382  | |
Dr. John S Carr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3470 Youth Monroe Rd, Loganville, GA 30052 Phone: 678-957-6301 Fax: 678-957-6303  | |
Dr. Mehul Parikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3869 Highway 81, Loganville, GA 30052 Phone: 678-635-8650  |