| Mr Jong K Song, MD | |
|
6185 Buford Hwy Bldg G, Norcross, GA 30071 | |
| (770) 446-0929 | |
| (770) 446-6977 |
| Full Name | Mr Jong K Song |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 6185 Buford Hwy Bldg G, Norcross, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568511301 | NPI | - | NPPES |
| 003149479B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 15637 (Georgia) | Primary |
| Entity Name | Center For Pan Asian Community Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336493311 PECOS PAC ID: 1355569765 Enrollment ID: O20140827000843 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jong K Song, MD 6185 Buford Hwy, Bldg G, Peachtree Corners, GA 30071-2350 Ph: (770) 446-0929 | Mr Jong K Song, MD 6185 Buford Hwy Bldg G, Norcross, GA 30071 Ph: (770) 446-0929 |
Dr. Michelle Chevalier, MD, MPH Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4864 Jimmy Carter Blvd, #203, Norcross, GA 30093 Phone: 770-806-0162 | |
Dr. Nicholas Kongoasa, MD, FACOG Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3965 Holcomb Bridge Rd Ste 100, Norcross, GA 30092 Phone: 770-450-8677 Fax: 678-792-8927 | |
Mrs. Sylvia Clayton Johnson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4028 Holcomb Bridge Rd, Norcross, GA 30092 Phone: 770-441-0757 Fax: 770-441-0845 | |
Dr. Jae K Park, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6185 Buford Hwy, Suite B-104, Norcross, GA 30071 Phone: 770-416-0099 Fax: 770-416-0022 | |
Chester A Burks, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4775 Jimmy Carter Blvd, Suite 101, Norcross, GA 30093 Phone: 770-638-8446 Fax: 770-806-0901 | |
Neale P Freeman, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5395 Jimmy Carter Blvd, Suite 500, Norcross, GA 30093 Phone: 678-585-4787 Fax: 470-375-8759 |