Dr Eddie L Whitehead, MD | |
1350 Montreal Rd, Suite 290, Tucker, GA 30084-8146 | |
(770) 593-2382 | |
(770) 598-1858 |
Full Name | Dr Eddie L Whitehead |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1350 Montreal Rd, Tucker, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669516795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 032087 (Georgia) | Primary |
Entity Name | Premier Healthcare Center Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093331423 PECOS PAC ID: 1951725977 Enrollment ID: O20200723002358 |
Mailing Address | Practice Location Address |
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Dr Eddie L Whitehead, MD 1350 Montreal Rd, Suite 290, Tucker, GA 30084-8146 Ph: (770) 593-2382 | Dr Eddie L Whitehead, MD 1350 Montreal Rd, Suite 290, Tucker, GA 30084-8146 Ph: (770) 593-2382 |
Jawahar Reddy Gazzala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 470-273-6263 Fax: 678-916-4957 | |
Nathan Lee Potter, PA Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4017 Northlake Creek Dr, Tucker, GA 30084 Phone: 317-501-9558 | |
Spandana Thenkabail, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 Crescent Center Pkwy, Tucker, GA 30084 Phone: 404-365-0966 | |
Sandeep Chandra, MD FACC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Road, Tucker, GA 30084 Phone: 770-638-1400 Fax: 770-638-1411 | |
John Magruder Read Iii, M. D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2362 Main St, Tucker, GA 30084 Phone: 770-938-1266 Fax: 770-939-4093 | |
Dr. Ali M Mohamed, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1459 Montreal Rd, Ste 312, Tucker, GA 30084 Phone: 770-270-4060 Fax: 770-270-4061 | |
Sorabh Kothari, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400 |