Carlos R Roman, MD | |
1170 Cleveland Ave, Anesthesia Dept., East Point, GA 30344-3615 | |
(404) 466-1700 | |
(770) 237-1124 |
Full Name | Carlos R Roman |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1170 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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1346218633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 018418 (Georgia) | Primary |
Entity Name | Mak Anesthesia Holdings, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Mailing Address | Practice Location Address |
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Carlos R Roman, MD Po Box 465445, Lawrenceville, GA 30042-5445 Ph: (770) 237-1561 | Carlos R Roman, MD 1170 Cleveland Ave, Anesthesia Dept., East Point, GA 30344-3615 Ph: (404) 466-1700 |
Sekethia L Mcdonald, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1170 Cleveland Ave, Anesthesia Dept., East Point, GA 30344 Phone: 404-466-1700 Fax: 770-237-1124 | |
Larry W. Morehead, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1170 Cleveland Ave, Anesthesia Dept., East Point, GA 30344 Phone: 404-466-1700 Fax: 770-237-1124 |