| Suwanee Family Physicians | |
|
960 Peachtree Industrial Blvd Suwanee GA 30024-1995 | |
| (770) 831-8191 | |
| Not Available |
| Full Name | Suwanee Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 960 Peachtree Industrial Blvd, Suwanee, Georgia |
| Authorized Official Name and Position | John Y Shih (PRESIDENT) |
| Authorized Official Contact | 7708318191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suwanee Family Physicians 960 Peachtree Industrial Blvd Suwanee GA 30024-1995 Ph: (770) 831-8191 | Suwanee Family Physicians 960 Peachtree Industrial Blvd Suwanee GA 30024-1995 Ph: (770) 831-8191 |
| NPI Number | 1306026307 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 11/07/2007 |
| Medicare PECOS PAC ID | 1456434877 |
|---|---|
| Medicare Enrollment ID | O20080208000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306026307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | John Yozen Shih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982712915 PECOS PAC ID: 9436232857 Enrollment ID: I20111129000327 |
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