Dr Blanca Ileana Durand, MD | |
1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281-9076 | |
(770) 474-7416 | |
(770) 389-6210 |
Full Name | Dr Blanca Ileana Durand |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 31 Years |
Location | 1101 Hospital Dr, Stockbridge, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902802689 | NPI | - | NPPES |
00825382 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0901X | Otolaryngology - Otology & Neurotology | 046956 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Henry Hospital | Stockbridge, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Atlanta Ear Nose And Throat Pc | 7113908302 | 11 |
Entity Name | South Atlanta Ear Nose & Throat Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548697196 PECOS PAC ID: 7113908302 Enrollment ID: O20131231000628 |
Mailing Address | Practice Location Address |
---|---|
Dr Blanca Ileana Durand, MD 1240 Highway 54 W, Ste 700, Fayetteville, GA 30214-4565 Ph: (770) 474-7416 | Dr Blanca Ileana Durand, MD 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281-9076 Ph: (770) 474-7416 |
Dr. Howard Kenneth Herman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Eagles Landing Pkwy Ste 102, Stockbridge, GA 30281 Phone: 770-389-0000 Fax: 770-389-0168 | |
Dr. Myron B Jones, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1050 Eagles Landing Pkwy, Ste 202, Stockbridge, GA 30281 Phone: 678-206-2424 Fax: 678-783-1376 | |
Matthew E Karen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1365 Rock Quarry Rd Ste 300, Stockbridge, GA 30281 Phone: 770-740-1860 | |
Dr. Harold William Moss, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281 Phone: 770-474-7416 Fax: 770-389-6210 | |
Aaron Michael Fletcher, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1106 Hospital Dr, Stockbridge, GA 30281 Phone: 678-902-9495 Fax: 678-815-1548 | |
Dr. Michael Anthony Avidano, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281 Phone: 770-474-7416 Fax: 770-389-6210 | |
Dr. Gary S Flom, MD FACS FAAP Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 797 Deerwood Dr, Stockbridge, GA 30281 Phone: 770-500-9336 |