Dante C Adan, MD | |
750 Townpark Ln Nw, Townpark Medical Center Dept Of Pediatrics, Kennesaw, GA 30144-5579 | |
(770) 514-5401 | |
Not Available |
Full Name | Dante C Adan |
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Gender | Male |
Speciality | Pediatrics |
Location | 750 Townpark Ln Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497724330 | NPI | - | NPPES |
947532165A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 056952 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Dante C Adan, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 949-5019 | Dante C Adan, MD 750 Townpark Ln Nw, Townpark Medical Center Dept Of Pediatrics, Kennesaw, GA 30144-5579 Ph: (770) 514-5401 |
Brandi Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1180 Ernest W Barrett Pkwy Nw Ste 102b, Kennesaw, GA 30144 Phone: 678-354-2273 | |
Krishna Eechampati, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090 | |
Dr. Kimberly Dao-king, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kennesaw, GA 30144 Phone: 800-611-1811 | |
Karen Spencer Thrower, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St, Ste 401, Kennesaw, GA 30144 Phone: 770-429-1005 Fax: 770-429-8005 | |
Anabelle Monroe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Pediatrics Health Care Team A, 750 Townpark Lane, Kennesaw, GA 30144 Phone: 770-514-5455 Fax: 770-514-5444 | |
Constance Enmon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090 | |
Bryana Ferris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144 Phone: 678-354-2273 Fax: 770-794-6652 |