| Truecare Medical Llc | |
|
625 Beaver Ruin Rd Nw Ste E Lilburn GA 30047-3407 | |
| (678) 369-9399 | |
| (833) 464-3867 |
| Full Name | Truecare Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 Beaver Ruin Rd Nw Ste E, Lilburn, Georgia |
| Authorized Official Name and Position | Ngoc Bao Phan (PROVIDER) |
| Authorized Official Contact | 6783699399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Truecare Medical Llc 625 Beaver Ruin Rd Nw Ste E Lilburn GA 30047-3407 Ph: (678) 369-9399 | Truecare Medical Llc 625 Beaver Ruin Rd Nw Ste E Lilburn GA 30047-3407 Ph: (678) 369-9399 |
| NPI Number | 1528731205 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 11/04/2024 |
| Medicare PECOS PAC ID | 2769889633 |
|---|---|
| Medicare Enrollment ID | O20210920001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528731205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ngoc Bao Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215299086 PECOS PAC ID: 1254649700 Enrollment ID: I20210920001778 |
| Provider Name | Son B Mai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174136071 PECOS PAC ID: 8022071687 Enrollment ID: I20220830002038 |
| Provider Name | Jannet Hae Jung Shim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790547818 PECOS PAC ID: 7517301781 Enrollment ID: I20240215001084 |
| Provider Name | Crystal Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346001773 PECOS PAC ID: 3870937733 Enrollment ID: I20240219002558 |
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