| Pib Family Medicine | |
|
2730 Peachtree Industrial Blvd Ste 101 Duluth GA 30097-8627 | |
| (404) 548-8850 | |
| Not Available |
| Full Name | Pib Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2730 Peachtree Industrial Blvd Ste 101, Duluth, Georgia |
| Authorized Official Name and Position | Sool Kee Song (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4048970684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pib Family Medicine 2730 Peachtree Industrial Blvd Ste 101 Duluth GA 30097-8627 Ph: (404) 897-0684 | Pib Family Medicine 2730 Peachtree Industrial Blvd Ste 101 Duluth GA 30097-8627 Ph: (404) 548-8850 |
| NPI Number | 1801631247 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 08/21/2024 |
| Medicare PECOS PAC ID | 9234677444 |
|---|---|
| Medicare Enrollment ID | O20240820000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801631247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sool Kee Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891177382 PECOS PAC ID: 2860701984 Enrollment ID: I20181022000126 |
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