Dr Frances Elizabeth Logan Penn, MD, MSPH | |
16741 Ga Highway 67, Suite F, Statesboro, GA 30458-2528 | |
(912) 681-4555 | |
(912) 681-6551 |
Full Name | Dr Frances Elizabeth Logan Penn |
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Gender | Female |
Speciality | Pediatrics |
Location | 16741 Ga Highway 67, Statesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447340773 | NPI | - | NPPES |
000989600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME103758 (Florida) | Secondary |
208000000X | Pediatrics | 67374 (Georgia) | Primary |
Entity Name | Central Georgia Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598126641 PECOS PAC ID: 5991004608 Enrollment ID: O20160502001926 |
Mailing Address | Practice Location Address |
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Dr Frances Elizabeth Logan Penn, MD, MSPH 16741 Ga Highway 67, Suite F, Statesboro, GA 30458-2528 Ph: (912) 871-5437 | Dr Frances Elizabeth Logan Penn, MD, MSPH 16741 Ga Highway 67, Suite F, Statesboro, GA 30458-2528 Ph: (912) 681-4555 |
Michelle R Zeanah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Savannah Ave, Statesboro, GA 30458 Phone: 912-489-4379 Fax: 912-681-4379 | |
Olufowobi Gbadebo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 116 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-489-1629 | |
Swaroop M Reddy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5 W Altman St, Statesboro, GA 30458 Phone: 912-764-6906 Fax: 912-764-3252 | |
Dr. Matthew Daniel Powellson, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1310 Brampton Ave, Statesboro, GA 30458 Phone: 912-486-1873 Fax: 912-486-2394 | |
Dr. Cindy O'bryant Gartmond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1570 Brampton Ave, Statesboro, GA 30458 Phone: 912-764-9196 Fax: 912-764-8401 | |
Dr. Anna Benson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4451 Country Club Rd Ste B, Statesboro, GA 30458 Phone: 912-871-5437 |