Colin C Dircks, MD | |
2165 Basque Dr Se, Smyrna, GA 30080-6508 | |
(404) 213-8350 | |
Not Available |
Full Name | Colin C Dircks |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2165 Basque Dr Se, Smyrna, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902003932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 000891 (Georgia) | Primary |
Entity Name | Coweta Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245556588 PECOS PAC ID: 5395876452 Enrollment ID: O20100706000634 |
Entity Name | Atlantic Cod Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801292693 PECOS PAC ID: 0345567616 Enrollment ID: O20150325001463 |
Mailing Address | Practice Location Address |
---|---|
Colin C Dircks, MD 2165 Basque Dr Se, Smyrna, GA 30080-6508 Ph: (404) 213-8350 | Colin C Dircks, MD 2165 Basque Dr Se, Smyrna, GA 30080-6508 Ph: (404) 213-8350 |
Dr. Sandeep Kumar Govil, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3969 S Cobb Dr Se, Suite 202, Smyrna, GA 30080 Phone: 704-230-0000 | |
Dr. Juron S Foreman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4552 Chelton Ct Se, Smyrna, GA 30080 Phone: 215-880-5026 | |
Dr. Fun Fong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5222 Fax: 770-434-5123 | |
Dr. Tameka Walker-blake, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5222 | |
Dr. Eric Deal, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5222 Fax: 770-434-5123 | |
Dr. Baber Rathur, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5222 Fax: 770-434-5123 | |
Dr. George U Amah, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 736 Windy Hill Rd Se, Smyrna, GA 30080 Phone: 770-432-7736 Fax: 770-432-7768 |