Corne Maydell, MD | |
2501 N Patterson St, Valdosta, GA 31602-1735 | |
(229) 433-1000 | |
Not Available |
Full Name | Corne Maydell |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 2501 N Patterson St, Valdosta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396901591 | NPI | - | NPPES |
003179857A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036.127517 (Illinois) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 074329 (Georgia) | Primary |
Entity Name | Hospital Authority Of Valdosta And Lowndes County Georgia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033160791 PECOS PAC ID: 1355334509 Enrollment ID: O20040405001313 |
Mailing Address | Practice Location Address |
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Corne Maydell, MD Po Box 70, Valdosta, GA 31603-0070 Ph: (229) 433-1000 | Corne Maydell, MD 2501 N Patterson St, Valdosta, GA 31602-1735 Ph: (229) 433-1000 |
Thomas L Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-242-1730 | |
Irene Murema, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-242-1730 | |
Kimberly W Megow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3526 Northcrossing Cir, Valdosta, GA 31602 Phone: 229-241-9500 Fax: 229-241-1047 | |
Robert J Criscuola, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3331 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2211 Fax: 229-247-9313 | |
Sandra L Feldman, M.D., MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 312 N Patterson St, Valdosta, GA 31601 Phone: 229-333-5290 Fax: 229-333-7822 | |
Mrs. Charlene Carla Blache, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 M Northside Drive, Valdosta, GA 31602 Phone: 229-241-0059 Fax: 229-241-2088 |