Dr Carli Jo Blomquist, MD | |
201 Hospital Road, Northside Hospital - Cherokee, Canton, GA 30114 | |
(770) 720-5100 | |
Not Available |
Full Name | Dr Carli Jo Blomquist |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 201 Hospital Road, Canton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831417278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 069378 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 69378 (Georgia) | Primary |
Entity Name | Northside Emergency Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Entity Name | Coweta Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245556588 PECOS PAC ID: 5395876452 Enrollment ID: O20100706000634 |
Mailing Address | Practice Location Address |
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Dr Carli Jo Blomquist, MD Po Box 421309, Atlanta, GA 30342 Ph: (404) 580-0845 | Dr Carli Jo Blomquist, MD 201 Hospital Road, Northside Hospital - Cherokee, Canton, GA 30114 Ph: (770) 720-5100 |
Dr. Gayatri Shangari, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 847-302-1320 | |
Dr. Austin Matthew Reece, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 | |
Mark Graham Hogan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-994-9326 Fax: 770-994-4747 | |
Allen Randle Beecham, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Village Professional Dr, Suite 200, Canton, GA 30114 Phone: 678-661-4545 | |
Dr. Brenda Dee Friedman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5191 | |
Dr. Josh Garet Uptigrove, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 | |
Dr. Ruchir K. Khurana, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 551 Riverstone Pkwy, Suite 100, Canton, GA 30114 Phone: 770-345-2000 |