MEDICARE: DR. PATRICK LEUNG TSUI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	030915	GA
2	208D00000X	General Practice Physician	030915	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598949166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK LEUNG TSUI D.O.

Provider Business Mailing Address
First Line	:	886 LAFAYETTE ST
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-2367
Country	:	US
Telephone Number	:	423-208-9374
Fax Number	:	800-288-9238

Provider Business Practice Location Address
First Line	:	886 LAFAYETTE ST
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-2367
Country	:	US
Telephone Number	:	423-208-9374
Fax Number	:	800-288-9238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2007
Last Update Date	:	03/30/2021

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