| Agape Family Medicine, P.C. | |
|
3265 Peachtree Pkwy Suwanee GA 30024-1036 | |
| (770) 876-5096 | |
| Not Available |
| Full Name | Agape Family Medicine, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 3265 Peachtree Pkwy, Suwanee, Georgia |
| Authorized Official Name and Position | Bede Soon Tae Cha (CEO) |
| Authorized Official Contact | 7708765096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Family Medicine, P.C. 3265 Peachtree Pkwy Suwanee GA 30024-1036 Ph: (770) 876-5096 | Agape Family Medicine, P.C. 3265 Peachtree Pkwy Suwanee GA 30024-1036 Ph: (770) 876-5096 |
| NPI Number | 1174355663 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 5395274617 |
|---|---|
| Medicare Enrollment ID | O20250130002880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174355663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Bede Soon Tae Cha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528427291 PECOS PAC ID: 0244596633 Enrollment ID: I20190624001411 |
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