Dr Kathleen Lee Hannan, MD | |
915 Gordon Ave, Thomasville, GA 31792-6614 | |
(229) 228-2000 | |
Not Available |
Full Name | Dr Kathleen Lee Hannan |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 915 Gordon Ave, Thomasville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104870724 | NPI | - | NPPES |
000810851Y | Medicaid | GA | |
252662000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 056572 (Georgia) | Primary |
Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20170602001215 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen Lee Hannan, MD 920 Us Highway 84 W, Thomasville, GA 31792-0510 Ph: (229) 228-8857 | Dr Kathleen Lee Hannan, MD 915 Gordon Ave, Thomasville, GA 31792-6614 Ph: (229) 228-2000 |
Kelley Stafford Helquist, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 714 N Dawson St, Thomasville, GA 31792 Phone: 904-252-7761 | |
Jerry Steven Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-228-2982 Fax: 229-551-8784 | |
Dr. Eduardo Jose Stincer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 | |
Dr. Sharif Darwish, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 | |
Dr. David Andrew Saunders, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-228-2982 Fax: 229-551-8784 | |
Dr. Cary Carter Newman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 |