Ayanna V Buckner, MD | |
1595 Cleveland Ave, East Point, GA 30344-3200 | |
(404) 616-2886 | |
(404) 209-1769 |
Full Name | Ayanna V Buckner |
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Gender | Female |
Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
Location | 1595 Cleveland Ave, East Point, 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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1720059462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 056966 (Georgia) | Primary |
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Mailing Address | Practice Location Address |
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Ayanna V Buckner, MD 80 Jesse Hill Dr Dr Se, Po Box 26042, Atlanta, GA 30303 Ph: (404) 616-1000 | Ayanna V Buckner, MD 1595 Cleveland Ave, East Point, GA 30344-3200 Ph: (404) 616-2886 |
Dr. Ramona Ann Minnis, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1670 Washington Ave, East Point, GA 30344 Phone: 678-705-1691 Fax: 855-289-7475 | |
Manjushree Ghose, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1595 Cleveland Ave, East Point, GA 30344 Phone: 404-616-2886 Fax: 404-209-1769 |