Dr Ann L Contrucci, MD | |
1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806 | |
(770) 219-9445 | |
Not Available |
Full Name | Dr Ann L Contrucci |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679505788 | NPI | - | NPPES |
00778324A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 044903 (Georgia) | Primary |
Entity Name | Northeast Georgia Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Mailing Address | Practice Location Address |
---|---|
Dr Ann L Contrucci, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Ann L Contrucci, MD 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806 Ph: (770) 219-9445 |
Cynthia Aracelly Cabrera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-533-6645 Fax: 770-535-2642 | |
Dr. Kelly Miller Lathem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 S Enota Dr Ne, Suite 150, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871 | |
Heather D Butler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871 | |
Nancy Ellen Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092 | |
John V Glisson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092 | |
Dr. Varachati Soodjinda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 592 Medical Park Dr, Suite A, Gainesville, GA 30501 Phone: 770-374-0068 | |
Megan Joyce Farley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092 |