Diego Fernando Herrera, DO | |
3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096-8030 | |
(678) 312-7800 | |
Not Available |
Full Name | Diego Fernando Herrera |
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Gender | Male |
Speciality | Family Medicine |
Location | 3855 Pleasant Hill Rd Ste 100, 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 |
---|---|---|---|
1528623535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 89688 (Georgia) | Secondary |
207Q00000X | Family Medicine | 89688 (Georgia) | Primary |
Entity Name | Northside Primary Care Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
Mailing Address | Practice Location Address |
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Diego Fernando Herrera, DO 3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096-8030 Ph: (678) 312-7800 | Diego Fernando Herrera, DO 3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096-8030 Ph: (678) 312-7800 |
Dr. Daniel Craig Grizzle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 770-931-6220 | |
Dr. Grace Qing Chai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3635 Peachtree Industrial Blvd Ste 550, Duluth, GA 30096 Phone: 770-545-8380 Fax: 770-545-8383 | |
Woun Seok, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Duluth Park Ln, Suite 220, Duluth, GA 30096 Phone: 678-417-0332 | |
Randy Byron Cronic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3660 Howell Ferry Rd, Bldg B, Duluth, GA 30096 Phone: 770-670-4640 Fax: 770-670-4644 | |
Mr. Matthew James Britton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5955 State Bridge Road, Suite 240, Duluth, GA 30097 Phone: 770-368-8702 Fax: 770-368-8727 | |
Mallikarjun Samala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11085 Callaway Dr, Duluth, GA 30097 Phone: 423-737-0336 | |
Mrs. Noshin Najafi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Kp Medical Center At Gwinnett, Duluth, GA 30096 Phone: 770-931-6220 Fax: 770-931-6035 |