| Dr Phillip Hiroto Nakano, MD | |
|
3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 | |
| (770) 495-1477 | |
| (770) 495-1488 |
| Full Name | Dr Phillip Hiroto Nakano |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 3096 Peachtree Industrial Blvd, Duluth, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962502252 | NPI | - | NPPES |
| 52026987 | Other | GA | BCBS |
| 00486351A | Medicaid | GA | |
| 686583 | Other | GA | FIRST HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 024310 (Georgia) | Primary |
| Entity Name | Prima Center For Plastic Surgery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114065935 PECOS PAC ID: 6608949185 Enrollment ID: O20080820000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Hiroto Nakano, MD 3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 Ph: (770) 495-1477 | Dr Phillip Hiroto Nakano, MD 3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 Ph: (770) 495-1477 |
Dr. Hanjoon Mike Song, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3096 Peachtree Industrial Blvd, Duluth, GA 30097 Phone: 770-495-1477 Fax: 770-495-1488 | |
Dr. R. Morgan Davoudi, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3855 Pleasant Hill Rd, Suite 300, Duluth, GA 30096 Phone: 770-418-1234 Fax: 770-817-1110 | |
Dr. Jeffrey David Zwiren, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3096 Peachtree Industrial Blvd, Duluth, GA 30097 Phone: 770-495-1477 Fax: 770-495-1488 | |
Dr. Lisa Carolyn Moody, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3540 Duluth Park Ln Ste 290, Duluth, GA 30096 Phone: 706-489-9623 | |
Dr. James Clinton Cronan Jr., M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Mcclure Bridge Rd, Building B201, Duluth, GA 30096 Phone: 678-957-8801 Fax: 678-957-8804 | |
Dr. Andrew Jimerson Ii, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6620 Mcginnis Ferry Rd, Duluth, GA 30097 Phone: 678-205-8400 |