| Radiant Family Practice Llc | |
|
1 Technology Pkwy S Norcross GA 30092-2928 | |
| (678) 713-2600 | |
| Not Available |
| Full Name | Radiant Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Technology Pkwy S, Norcross, Georgia |
| Authorized Official Name and Position | Hina Hussain (OWNER) |
| Authorized Official Contact | 4046356117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Family Practice Llc Po Box 671047 Marietta GA 30066-0135 Ph: (404) 635-6117 | Radiant Family Practice Llc 1 Technology Pkwy S Norcross GA 30092-2928 Ph: (678) 713-2600 |
| NPI Number | 1326366154 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 5890977326 |
|---|---|
| Medicare Enrollment ID | O20110304000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326366154 | NPI | - | NPPES |
| 003107254A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 055063 (Georgia) | Primary |
| Provider Name | Ilya Wolfson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942261441 PECOS PAC ID: 5294724324 Enrollment ID: I20040512000351 |
| Provider Name | Hina Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306881362 PECOS PAC ID: 6507879830 Enrollment ID: I20060803000040 |
| Provider Name | Maria D Bratoeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255681243 PECOS PAC ID: 3274778352 Enrollment ID: I20130320000137 |
| Provider Name | Starr Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790398790 PECOS PAC ID: 9931631397 Enrollment ID: I20241010002231 |
| Provider Name | Laquita Charle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194459099 PECOS PAC ID: 5698294585 Enrollment ID: I20250523000365 |
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