Dr Daniel Jay Roth, MD | |
1830 D Youville Ln, Atlanta, GA 30341-1460 | |
(267) 980-3116 | |
Not Available |
Full Name | Dr Daniel Jay Roth |
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Gender | Male |
Speciality | Pediatrics |
Location | 1830 D Youville Ln, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467541078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 53711 (Georgia) | Primary |
Entity Name | Columbus Ambulatory Healthcare Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790 |
Entity Name | Mppg Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338 |
Mailing Address | Practice Location Address |
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Dr Daniel Jay Roth, MD 1830 D Youville Ln, Atlanta, GA 30341-1460 Ph: () - | Dr Daniel Jay Roth, MD 1830 D Youville Ln, Atlanta, GA 30341-1460 Ph: (267) 980-3116 |
Dr. Seth Benjamin Marcus, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 993-d Johnson Ferry Rd Ne Suite 440, Atlanta, GA 30342 Phone: 404-257-0799 | |
Carrie Ng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-7141 Fax: 404-785-7989 | |
Dr. Bharath Srivatsa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328 Phone: 404-252-9751 Fax: 678-990-5763 | |
Michael Mallory, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-250-2972 | |
Briana Cary Patterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2015 Uppergate Dr, Atlanta, GA 30322 Phone: 404-727-6721 | |
Evan Orenstein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-6104 Fax: 404-785-1462 | |
Andrew John Galway Mcreynolds, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49 Jesse Hill Jr Dr Se, Pediatrics Residency Training Program, Atlanta, GA 30303 Phone: 404-778-1440 |