| Guo's Medical Clinic, Llc | |
|
1465 Haw Creek Cir Suite 703 Cumming GA 30041-6577 | |
| (770) 781-1560 | |
| (770) 781-1561 |
| Full Name | Guo's Medical Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1465 Haw Creek Cir, Cumming, Georgia |
| Authorized Official Name and Position | Xiaoqing Guo (OWNER) |
| Authorized Official Contact | 7707811560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guo's Medical Clinic, Llc 1465 Haw Creek Cir Suite 703 Cumming GA 30041-6577 Ph: (770) 781-1560 | Guo's Medical Clinic, Llc 1465 Haw Creek Cir Suite 703 Cumming GA 30041-6577 Ph: (770) 781-1560 |
| NPI Number | 1760630123 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/28/2008 |
| Medicare PECOS PAC ID | 7113087248 |
|---|---|
| Medicare Enrollment ID | O20081119000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760630123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 051554 (Georgia) | Primary |
| Provider Name | Xiaoqing Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699776641 PECOS PAC ID: 3072619832 Enrollment ID: I20070511000071 |
| Provider Name | Kanitha Sar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417402108 PECOS PAC ID: 8729361688 Enrollment ID: I20170220001923 |
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