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SURGICAL CONSULTANTS PC NPI 1649359753


NPI Information

NPI: 1649359753
Provider Name: SURGICAL CONSULTANTS PC

Other Name: SOMPHONG THITARAM MD

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5555 BUFORD HWY
501
NORCROSS, GA
ZIP 30071
Phone: (770) 446-6655
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SURGICAL CONSULTANTS PC is a general practice in Norcross, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SURGICAL CONSULTANTS PC NPI is 1649359753. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Somphong Thitaram Md.

The provider's business location address is:

5555 BUFORD HWY
501
NORCROSS, GA
ZIP 30071-957
Phone: (770) 446-6655
Fax: (770) 446-6659

The provider's authorized official is Somphong Thitaram .
The authorized official title is President and has the following contact phone number (770) 446-6655.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice15046GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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