Brooke Hanaway Lewis, MD | |
134 Riverstone Ter Ste 202, Canton, GA 30114-1705 | |
(404) 256-2593 | |
Not Available |
Full Name | Brooke Hanaway Lewis |
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Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 134 Riverstone Ter Ste 202, Canton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669421434 | NPI | - | NPPES |
780942438A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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2080P0202X | Pediatrics - Pediatric Cardiology | 055951 (Georgia) | Primary |
Entity Name | Children's Healthcare Of Atlanta Cardiology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235148727 PECOS PAC ID: 6901888395 Enrollment ID: O20040601000805 |
Mailing Address | Practice Location Address |
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Brooke Hanaway Lewis, MD 2835 Brandywine Rd, 300, Atlanta, GA 30341 Ph: (770) 488-9202 | Brooke Hanaway Lewis, MD 134 Riverstone Ter Ste 202, Canton, GA 30114-1705 Ph: (404) 256-2593 |
Dr. Vicki D Knight-mathis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2920 Marietta Hwy, Suite 142, Canton, GA 30114 Phone: 770-704-0057 Fax: 770-704-0223 | |
Aaron Robert Millage, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-720-5100 | |
Jonathan Arthur Cheek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Riverstone Terrace, Suite 103, Canton, GA 30114 Phone: 770-479-1985 Fax: 770-479-4839 | |
Dr. Michael George Anderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 391 East Main Street, Historic Hawkins Building, Canton, GA 30114 Phone: 770-720-6963 Fax: 770-720-6965 | |
Nicholas Kelly, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 Phone: 404-785-5437 Fax: 404-785-4683 | |
Anthony David Wahbeh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 Phone: 404-785-5437 Fax: 404-785-4683 | |
Dr. Enid Colon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 Waleska Rd Ste 1c, Canton, GA 30114 Phone: 770-345-0055 Fax: 770-345-0020 |