| Buford-norcross Primary Care, P.c. | |
|
777 W Peachtree St Norcross GA 30071-1868 | |
| (770) 246-6100 | |
| (770) 246-6142 |
| Full Name | Buford-norcross Primary Care, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 777 W Peachtree St, Norcross, Georgia |
| Authorized Official Name and Position | Christine Liqun Bao (DOCTOR) |
| Authorized Official Contact | 7702466100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buford-norcross Primary Care, P.c. 777 W Peachtree St Norcross GA 30071-1868 Ph: (770) 246-6100 | Buford-norcross Primary Care, P.c. 777 W Peachtree St Norcross GA 30071-1868 Ph: (770) 246-6100 |
| NPI Number | 1386811149 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Medicare PECOS PAC ID | 9032104583 |
|---|---|
| Medicare Enrollment ID | O20040415000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386811149 | NPI | - | NPPES |
| 00753728H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 043539 (Georgia) | Primary |
| Provider Name | Alice-wei You |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851301907 PECOS PAC ID: 8224068788 Enrollment ID: I20050817000567 |
| Provider Name | Christine Li-qun Bao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831175132 PECOS PAC ID: 9830268895 Enrollment ID: I20080516000004 |
| Provider Name | Dandan Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477973808 PECOS PAC ID: 6709141054 Enrollment ID: I20180607001780 |
| Provider Name | Ann Y Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467592766 PECOS PAC ID: 9830378116 Enrollment ID: I20200226000701 |
| Provider Name | Henry S Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093793101 PECOS PAC ID: 5698739316 Enrollment ID: I20200227000827 |
| Provider Name | Patrick K Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245761303 PECOS PAC ID: 9537439237 Enrollment ID: I20200806003877 |
| Provider Name | Steven Chengshi He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154360477 PECOS PAC ID: 8123206935 Enrollment ID: I20200828001397 |
| Provider Name | Yu Xin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265962088 PECOS PAC ID: 3870978497 Enrollment ID: I20220919001613 |
| Provider Name | Kelcie Nichole Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891257754 PECOS PAC ID: 5890029045 Enrollment ID: I20241009001848 |
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