| Alan Noon, PA-C | |
|
6392 Murphy Dr, Morrow, GA 30260-1714 | |
| (770) 960-5701 | |
| Not Available |
| Full Name | Alan Noon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6392 Murphy Dr, Morrow, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467851212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2242 (Georgia) | Primary |
| Entity Name | Privia Medical Group of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Noon, PA-C 6392 Murphy Dr, Po Box 6, Morrow, GA 30260-1714 Ph: (770) 960-5701 | Alan Noon, PA-C 6392 Murphy Dr, Morrow, GA 30260-1714 Ph: (770) 960-5701 |
Mr. Anong Clement Ncho, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1368 Southlake Plaza Dr, Morrow, GA 30260 Phone: 678-422-8824 Fax: 678-422-7291 |
Michelle Thuy Khanh Dao, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6204 Graceland Cir, Morrow, GA 30260 Phone: 404-510-9887 |
Stephen B Routt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1368 Southlake Professional Place, Morrow, GA 30260 Phone: 615-778-4066 |