Delquis Rafael Mendoza Jr, MD | |
3970 Rogers Bridge Rd, Duluth, GA 30097-2214 | |
(404) 265-1579 | |
Not Available |
Full Name | Delquis Rafael Mendoza Jr |
---|---|
Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 3970 Rogers Bridge Rd, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083096416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 91891 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Delquis Rafael Mendoza Jr, MD 3970 Rogers Bridge Rd, Duluth, GA 30097-2214 Ph: (404) 673-4396 | Delquis Rafael Mendoza Jr, MD 3970 Rogers Bridge Rd, Duluth, GA 30097-2214 Ph: (404) 265-1579 |
Glenn M Hall Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096 Phone: 678-312-7280 | |
Dr. Robert C Fritz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Howell Ferry Rd Ste 200, Duluth, GA 30096 Phone: 770-476-7047 Fax: 408-335-4730 | |
Mr. Hernan Dario Urrego, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 404-881-8020 | |
Miss Erjia Bao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11205 Abbotts Walk Dr, Duluth, GA 30097 Phone: 770-365-7337 | |
Micheal A Hall, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096 Phone: 678-312-7280 Fax: 678-312-7299 | |
Erica N Proctor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 280, Duluth, GA 30096 Phone: 678-312-7490 Fax: 678-312-7499 |