| Health One Medical Group Llc | |
|
10710 Medlock Bridge Rd Suite 150 Johns Creek GA 30097-1827 | |
| (770) 497-4188 | |
| (770) 497-4189 |
| Full Name | Health One Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10710 Medlock Bridge Rd, Johns Creek, Georgia |
| Authorized Official Name and Position | Christopher C Kang (OWNER) |
| Authorized Official Contact | 7704974188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health One Medical Group Llc 10710 Medlock Bridge Rd Suite 150 Johns Creek GA 30097-1827 Ph: (770) 497-4188 | Health One Medical Group Llc 10710 Medlock Bridge Rd Suite 150 Johns Creek GA 30097-1827 Ph: (770) 497-4188 |
| NPI Number | 1114355260 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 01/14/2015 |
| Medicare PECOS PAC ID | 6103053673 |
|---|---|
| Medicare Enrollment ID | O20131209001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114355260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39141 (Georgia) | Primary |
| Provider Name | Jeffrey H Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659432060 PECOS PAC ID: 4082709837 Enrollment ID: I20071009000314 |
| Provider Name | Christopher Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447226808 PECOS PAC ID: 1850340274 Enrollment ID: I20101112000410 |
| Provider Name | Michelle Soeun Chun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487121679 PECOS PAC ID: 1052652948 Enrollment ID: I20190402001407 |
| Provider Name | Ji Sun Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891465951 PECOS PAC ID: 9032507892 Enrollment ID: I20211027001860 |
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