Tran Medical Clinic PC
Clinic/Center in Lilburn, GA. Organization (NPI-2).
NPI number1164066122
StatusActive
Last updated in NPPESDec 14, 2021
Details
- NPI
- 1164066122
- Entity type
- Organization (NPI-2)
- Legal business name
- Tran Medical Clinic PC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2019
- Certification date
- Dec 14, 2021
- Last updated
- Dec 14, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
605 Beaver Ruin Rd Nw Ste CLilburn, GA 30047-3430
Phone 770-277-7202 · Fax 770-277-3270
Mailing address
605 Beaver Ruin Rd Nw Ste CLilburn, GA 30047-3430
Phone 770-277-7202
Authorized official
Trung D Tran
President
7702777202
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