| Seong Sool Shim, MD | |
|
10090 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097-4428 | |
| (470) 482-6508 | |
| (770) 476-9750 |
| Full Name | Seong Sool Shim |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 46 Years |
| Location | 10090 Medlock Bridge Rd Ste 110, Johns Creek, 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 |
|---|---|---|---|
| 1033199187 | NPI | - | NPPES |
| 171406 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 78133 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Personal Recovery Network Llc | 5092611384 | 453 |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Seong Sool Shim, MD 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () - | Seong Sool Shim, MD 10090 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097-4428 Ph: (470) 482-6508 |
Dr. Robert Carl Waldrop, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6300 Hospital Pkwy, Suite 260, Johns Creek, GA 30097 Phone: 770-454-4685 Fax: 770-454-4690 | |
Dr. Mark Irwin Harris, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6300 Hospital Pkwy, Suite 260, Johns Creek, GA 30097 Phone: 770-454-4685 Fax: 770-454-4690 | |
Jeffrey Lynn Rausch, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10090 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097 Phone: 470-482-6508 Fax: 770-476-9750 | |
Naveed Shaz Ummed, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10475 Medlock Bridge Rd Ste 420, Johns Creek, GA 30097 Phone: 770-212-7520 Fax: 770-212-9502 | |
Dr. Susan Lynn Bower, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10475 Medlock Bridge Rd Ste 205, Johns Creek, GA 30097 Phone: 770-338-6558 Fax: 770-232-1326 | |
Dr. Albert A Cook, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9810a Medlock Bridge Rd, Suite 200, Johns Creek, GA 30097 Phone: 678-474-0151 Fax: 678-474-0152 |