Organization · NPI-2

Agape Family Medicine, P.C.

Family Medicine · Suwanee, GA

NPI number1174355663
StatusActive
Last updated in NPPESAug 14, 2024

Details

NPI
1174355663
Entity type
Organization (NPI-2)
Legal business name
Agape Family Medicine, P.C.
Organization subpart
No
Enumeration date
Aug 14, 2024
Certification date
Aug 14, 2024
Last updated
Aug 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

3265 Peachtree Pkwy
Suwanee, GA 30024-1036

Phone 770-876-5096

Mailing address

3265 Peachtree Pkwy
Suwanee, GA 30024-1036

Phone 770-876-5096

Authorized official

Bede Soon Tae Cha
Ceo
7708765096

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Suwanee, GA