Seoul Medical and Pain Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

054221 Issued in GA

Legal business name

SEOUL MEDICAL AND PAIN CLINIC INC

Practice address

6062 Buford Hwy
120
Norcross, GA 30071-2424

Phone

(770) 416-0022

Fax

(404) 601-6012

NPI assigned

Nov 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Hae Kyung Cha

Title

President

Phone

(770) 416-0022

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rasean T Hodge, M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1972543726
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1649423690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6062 BUFORD HWY",
            "address_2": "120",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712424",
            "telephone_number": "770-416-0022",
            "fax_number": "404-601-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6062 BUFORD HWY",
            "address_2": "120",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712424",
            "telephone_number": "770-416-0022",
            "fax_number": "404-601-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEOUL MEDICAL AND PAIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "HAE",
        "authorized_official_middle_name": "KYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-416-0022",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "054221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linnette J Sells, D.O.
• Dennis A Selva, MD
• Sencare Services LLC
• Senior Wisdom Partners LLC
• Sensational Progressional Occupational Therapy LLC
• Serene Dental Care, LLC
• Alejandro Serrano, D.C., PHY ASST- C
• Seva Adult Care LLC
• Seva Family Caregiver LLC
• Seva Home Care LLC

• Family Medicine Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.