Dr Frank Lake, MD | |
743 Spring St Ne, Gainesville, GA 30501-3715 | |
(770) 535-3393 | |
(770) 503-0579 |
Full Name | Dr Frank Lake |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 743 Spring St Ne, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699776906 | NPI | - | NPPES |
00116168A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 011972 (Georgia) | Primary |
Entity Name | Northeast Georgia Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Mailing Address | Practice Location Address |
---|---|
Dr Frank Lake, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Frank Lake, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 535-3393 |
Kimberely J Windham-cope, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Scott M Stephen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Ajay Kumar Ravi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Ms. Neha Agrawal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. Lee A Martin Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Brian P Gay, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 425 Broad St Se, Suite 102, Gainesville, GA 30501 Phone: 770-718-9776 Fax: 770-718-1910 | |
Dr. David Lawrence Kimball, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-539-9391 Fax: 770-533-4701 |