Provider Demographics
NPI:1528731205
Name:TRUECARE MEDICAL LLC
Entity type:Organization
Organization Name:TRUECARE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:NGOC
Authorized Official - Middle Name:BAO
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:678-369-9399
Mailing Address - Street 1:625 BEAVER RUIN RD NW STE E
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-3407
Mailing Address - Country:US
Mailing Address - Phone:678-369-9399
Mailing Address - Fax:770-733-1370
Practice Address - Street 1:625 BEAVER RUIN RD NW STE E
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3407
Practice Address - Country:US
Practice Address - Phone:678-369-9399
Practice Address - Fax:833-464-3867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty