Corliss A Rupp, MD is a
Psychiatry & Neurology - Psychiatry physician based in Grayson, Georgia. Corliss A Rupp is licensed to practice in Georgia (license number 049091) and her current practice location is 1711 Athens Hwy Ste 500, Grayson, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 982-2525.
NPI number for Corliss A Rupp is 1447355086 and her current mailing address is 2055c Scenic Hwy N # 187, Snellville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447355086.
Physician's Profile
| Full Name | Corliss A Rupp |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1711 Athens Hwy Ste 500, Grayson, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447355086
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Corliss A Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447355086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 049091 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Corliss A Rupp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Corliss A Rupp, MD
2055c Scenic Hwy N # 187,
Snellville, GA 30078-6105
Ph: (770) 982-2525 | Corliss A Rupp, MD
1711 Athens Hwy Ste 500,
Grayson, GA 30017-4210
Ph: (770) 982-2525 |
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