Dr Jonathan Marshall Flacker, MD | |
1331 Mount Zion Rd, Morrow, GA 30260-2357 | |
(770) 629-3217 | |
Not Available |
Full Name | Dr Jonathan Marshall Flacker |
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Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 1331 Mount Zion Rd, Morrow, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568402162 | NPI | - | NPPES |
048148 | Other | GA | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | 048148 (Georgia) | Primary |
Entity Name | Pmr Georgia Holding Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609329630 PECOS PAC ID: 8426466590 Enrollment ID: O20210409002172 |
Mailing Address | Practice Location Address |
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Dr Jonathan Marshall Flacker, MD Emma I Darnell Geriatrics Center, 80 Jesse Hill Jr Drive, Atlanta, GA 30303 Ph: (404) 616-7642 | Dr Jonathan Marshall Flacker, MD 1331 Mount Zion Rd, Morrow, GA 30260-2357 Ph: (770) 629-3217 |
Lauren Michelle Dubiner, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Center Dr Ste 100, Morrow, GA 30260 Phone: 770-968-8888 Fax: 770-960-2465 | |
Dr. Kimberly A Zielke, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1331 Mount Zion Rd, Morrow, GA 30260 Phone: 770-629-3217 Fax: 404-666-3217 | |
Mrs. Tulasi Rama Vanapalli, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1115 Mount Zion Rd, Suite J, Morrow, GA 30260 Phone: 770-968-7421 Fax: 770-960-0078 | |
Mr. Inigo Sabariaga Atienza, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1331 Mount Zion Rd, Morrow, GA 30260 Phone: 770-629-3217 Fax: 404-666-0085 | |
Dr. Le Anthony Andre Hardy, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1331 Mount Zion Rd, Morrow, GA 30260 Phone: 770-629-3217 | |
Dr. Jarvis Jeffrey Sanchez-rivera, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1821 Mount Zion Rd, Morrow, GA 30260 Phone: 470-754-6380 Fax: 877-874-7522 |