| Rudolph Valentino Tacoronti, MD | |
|
4775 Jimmy Carter Blvd, Ste 201, Norcross, GA 30093-3760 | |
| (670) 275-4911 | |
| (470) 275-4911 |
| Full Name | Rudolph Valentino Tacoronti |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 4775 Jimmy Carter Blvd, Norcross, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962592600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 045347 (Georgia) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 045347 (Georgia) | Secondary |
| Entity Name | Trident Primary Care & Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760262463 PECOS PAC ID: 6800236316 Enrollment ID: O20240501002384 |
| Mailing Address | Practice Location Address |
|---|---|
| Rudolph Valentino Tacoronti, MD 4775 Jimmy Carter Blvd, Ste 201, Norcross, GA 30093-3760 Ph: (470) 275-4911 | Rudolph Valentino Tacoronti, MD 4775 Jimmy Carter Blvd, Ste 201, Norcross, GA 30093-3760 Ph: (670) 275-4911 |
Dr. Truc Thanh Pham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3985 Steve Reynolds Blvd, Suite K 102, Norcross, GA 30093 Phone: 678-367-0390 Fax: 678-245-3391 | |
Tina V Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6330 Primrose Hill Ct, Norcross, GA 30092 Phone: 770-903-0134 Fax: 770-903-0135 | |
Dr. Thomas L Garvin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5551 Everglades Trl, Norcross, GA 30071 Phone: 470-505-7102 | |
Dr. Thang Nguyen, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3985 Steve Reynolds Blvd, Suite K-102, Norcross, GA 30093 Phone: 678-367-0390 Fax: 678-245-3391 | |
Tong M Huynh, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4775 Jimmy Carter Blvd, Ste 201, Norcross, GA 30093 Phone: 470-275-4911 Fax: 770-275-4918 | |
Dr. Bhumi Purohit, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5075 Peachtree Pkwy, Suite 106, Norcross, GA 30092 Phone: 770-582-1300 Fax: 770-582-1317 | |
Dr. Rayvelle Antoinette Stallings, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1626 Jeurgens Ct, Norcross, GA 30093 Phone: 816-843-5810 Fax: 816-843-6415 |