Alexandria Mayne, MD | |
1 Meadows Pkwy, Vidalia, GA 30474-8759 | |
(912) 535-5555 | |
Not Available |
Full Name | Alexandria Mayne |
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Gender | Female |
Speciality | Pediatrics |
Location | 1 Meadows Pkwy, Vidalia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770043754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 92670 (Georgia) | Primary |
Entity Name | Cogent Healthcare Of Georgia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
Mailing Address | Practice Location Address |
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Alexandria Mayne, MD 107 Cameron Ct, Weston, FL 33326-3518 Ph: () - | Alexandria Mayne, MD 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 535-5555 |
Dr. Erin Breeann Lindholm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Etta Wilcia Boss Cole, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 Fax: 123-738-0969 | |
Lauren Courtney Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Dr. Katrina Mcclane Leshanski, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Timothy Caron Horton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1702 Meadows Ln Ste A, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Caryn J. Masterman-smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Callie Wilkes, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 |