Dr Kathleen A Long, MD | |
144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819 | |
(678) 363-1940 | |
(678) 581-7110 |
Full Name | Dr Kathleen A Long |
---|---|
Gender | Female |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 144 Bill Carruth Pkwy Ste 3100, Hiram, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043215403 | NPI | - | NPPES |
00599981F | Medicaid | GA | |
000599981AE | Medicaid | GA | |
000599981AD | Medicaid | GA | |
1043215403 | Other | GA | NPI NUMBER |
00599981AB | Medicaid | GA | |
00599981G | Medicaid | GA | |
00599981D | Medicaid | GA | |
009932125 | Medicaid | AL | |
0741780009 | Other | GA | SUPPLIER NPI NUMBER (CANTON) |
1801924857 | Other | GA | SUPPLIER NPI NUMBER (JASPER) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 038549 (Georgia) | Primary |
Entity Name | Northwest Georgia Oncology Centers, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750376695 PECOS PAC ID: 5395642284 Enrollment ID: O20031218000066 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen A Long, MD 531 Roselane St Nw Ste 710, Marietta, GA 30060-6975 Ph: (678) 331-3297 | Dr Kathleen A Long, MD 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819 Ph: (678) 363-1940 |
David M. Finkelman, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3600, Hiram, GA 30141 Phone: 678-486-5500 Fax: 678-486-5502 | |
Judy Oh, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 200, Hiram, GA 30141 Phone: 678-741-5000 Fax: 770-445-9013 | |
Alan Chung-kee Cheng, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy, Suite 100, Hiram, GA 30141 Phone: 678-324-4444 Fax: 770-528-9932 | |
Dr. William L Forehand Iii, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-363-1940 Fax: 678-581-7110 | |
Dr. Jeffrey L Tharp, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209 | |
Mr. Zaid Mohammed-khair Shmaisani, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 470-644-8027 Fax: 470-986-7105 |