| Care Plus Family Medicine, Pc | |
|
3576 Shallowford Rd Ne Ste A Chamblee GA 30341-2998 | |
| (770) 451-9940 | |
| (770) 451-6996 |
| Full Name | Care Plus Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3576 Shallowford Rd Ne Ste A, Chamblee, Georgia |
| Authorized Official Name and Position | Zudong Zhang (PRESIDENT) |
| Authorized Official Contact | 7704519940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Plus Family Medicine, Pc 3576 Shallowford Rd Ne Ste A Chamblee GA 30341-2998 Ph: (770) 451-9940 | Care Plus Family Medicine, Pc 3576 Shallowford Rd Ne Ste A Chamblee GA 30341-2998 Ph: (770) 451-9940 |
| NPI Number | 1720500937 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 12/05/2023 |
| Medicare PECOS PAC ID | 4587936117 |
|---|---|
| Medicare Enrollment ID | O20170816004644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720500937 | NPI | - | NPPES |
| 003191341A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 75185 (Georgia) | Primary |
| Provider Name | Zu D Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194935510 PECOS PAC ID: 0244384543 Enrollment ID: I20160518000259 |
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