Dominic Mack, MD | |
1513 East Cleveland Ave, Building 500, East Point, GA 30344 | |
(404) 752-1000 | |
(404) 752-1191 |
Full Name | Dominic Mack |
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Gender | Male |
Speciality | Family Medicine |
Location | 1513 East Cleveland Ave, East Point, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508866948 | NPI | - | NPPES |
000433892 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 031630 (Georgia) | Primary |
Entity Name | Morehouse Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570 |
Mailing Address | Practice Location Address |
---|---|
Dominic Mack, MD 720 Westview Dr Sw Ste 100, Atlanta, GA 30310-1458 Ph: (404) 756-1400 | Dominic Mack, MD 1513 East Cleveland Ave, Building 500, East Point, GA 30344 Ph: (404) 752-1000 |
Dr. Kitty B Carter-wicker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1513 Cleveland Ave Bldg 500, East Point, GA 30344 Phone: 404-752-1000 | |
Dr. Betty Elizabeth Strong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1203 Cleveland Ave, Suite 1-a, East Point, GA 30344 Phone: 404-835-2891 Fax: 404-835-2899 | |
Yuan-xiang Meng, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1513 Cleveland Ave, Bldg 500, East Point, GA 30344 Phone: 404-752-1000 Fax: 404-752-1191 | |
Dr. Neetu Singh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1170 Cleveland Ave, Atlanta Medical Center, East Point, GA 30344 Phone: 770-265-6264 | |
Praharsha Ravindranatha Menon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2084 Headland Dr, Jencare Neighborhood Medical Center East Point, Llc, East Point, GA 30344 Phone: 404-965-5691 Fax: 404-965-5710 | |
Eugene W Williams, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1136 Cleveland Ave, Suite 317, East Point, GA 30344 Phone: 404-466-6317 Fax: 404-466-7217 | |
Dr. Harry J. Heiman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1513 East Cleveland Ave, Building, East Point, GA 30344 Phone: 404-752-1000 Fax: 404-752-1191 |