| Ethne Health | |
|
980 Rowland St Ste 4190 Clarkston GA 30021-2203 | |
| (470) 799-0044 | |
| (470) 799-0045 |
| Full Name | Ethne Health |
|---|---|
| Speciality | Family Medicine |
| Location | 980 Rowland St Ste 4190, Clarkston, Georgia |
| Authorized Official Name and Position | Daniel Flint Megill (CFO) |
| Authorized Official Contact | 4707990044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethne Health 980 Rowland St Ste 4190 Clarkston GA 30021-2203 Ph: (470) 799-0044 | Ethne Health 980 Rowland St Ste 4190 Clarkston GA 30021-2203 Ph: (470) 799-0044 |
| NPI Number | 1538646054 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 5092054940 |
|---|---|
| Medicare Enrollment ID | O20190311002940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538646054 | NPI | - | NPPES |
| Provider Name | Robert William Contino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962768713 PECOS PAC ID: 0042457566 Enrollment ID: I20170913003767 |
| Provider Name | Joyce Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659716587 PECOS PAC ID: 5799080552 Enrollment ID: I20171004000891 |
| Provider Name | Sean R Lindsey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437418829 PECOS PAC ID: 1355634379 Enrollment ID: I20171221000555 |
| Provider Name | Andrew Jee Soo Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053670133 PECOS PAC ID: 4688810492 Enrollment ID: I20171228000432 |
| Provider Name | Sarah Neely Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265646822 PECOS PAC ID: 9537408489 Enrollment ID: I20190429001646 |
| Provider Name | Esther Ern-pei Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912341967 PECOS PAC ID: 5092954727 Enrollment ID: I20190430001673 |
| Provider Name | Brett Stuart Malone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689962409 PECOS PAC ID: 7012153505 Enrollment ID: I20210201001657 |
| Provider Name | Rebecca Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457059834 PECOS PAC ID: 5890169379 Enrollment ID: I20230323002938 |
| Provider Name | Charles Chung |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023279882 PECOS PAC ID: 6103138078 Enrollment ID: I20231213001999 |
| Provider Name | Eunice Li Chay |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1598111643 PECOS PAC ID: 3971952805 Enrollment ID: I20231218001097 |
| Provider Name | Brittany Thome Hoover |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689836470 PECOS PAC ID: 3577915040 Enrollment ID: I20240119002839 |
| Provider Name | Euiyoung Kwak |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003461559 PECOS PAC ID: 1052731213 Enrollment ID: I20240130000541 |
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