# PROCARE ULTRASOUND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417458233
- **Authorized official:** HONG HUONG PHAM ARDMS (ULTRASOUND TECH)
- **Authorized official phone:** (404) 507-6797

## Contact information

- **Practice address:** 4500 SATELLITE BLVD STE 2190, DULUTH, GA 30096-8850
- **Practice address phone:** (404) 507-6797
- **Mailing address:** 4500 SATELLITE BLVD STE 2190, DULUTH, GA 30096-8850
- **Mailing address phone:** (404) 507-6797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |
| 293D00000X | Physiological Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 02/27/2018
- **Last updated:** 10/10/2019