Dr Kobena Y Waters, MD | |
704 Breedlove Dr Ste A, Monroe, GA 30655-2054 | |
(888) 772-0076 | |
Not Available |
Full Name | Dr Kobena Y Waters |
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Gender | Male |
Speciality | Internal Medicine |
Location | 704 Breedlove Dr Ste A, Monroe, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699263848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 97289 (Georgia) | Primary |
Entity Name | Chronic Disease Management Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699300939 PECOS PAC ID: 7618306721 Enrollment ID: O20200409003695 |
Mailing Address | Practice Location Address |
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Dr Kobena Y Waters, MD Po Box 964, Monroe, GA 30655-0964 Ph: (888) 772-0076 | Dr Kobena Y Waters, MD 704 Breedlove Dr Ste A, Monroe, GA 30655-2054 Ph: (888) 772-0076 |
Shayne R Squires, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2151 W Spring St Ste B110, Monroe, GA 30655 Phone: 770-267-1895 | |
Bhavin H Jani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Breedlove Drive, Suite 100, Monroe, GA 30655 Phone: 770-267-6565 Fax: 770-267-1524 | |
Amar Mohan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 704 Breedlove Dr, Ste A, Monroe, GA 30655 Phone: 888-772-0076 Fax: 770-751-8014 | |
E'lexus Okafor, Internal Medicine Medicare: Medicare Enrolled Practice Location: 704 Breedlove Dr Ste A, Monroe, GA 30655 Phone: 888-772-0076 Fax: 770-751-8014 | |
Sarah V Mcbee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 517 Great Oaks Dr, Suite 102, Monroe, GA 30655 Phone: 770-267-6565 Fax: 770-267-1524 | |
Dr. Angelito Henrito K. Jao, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Alcovy St, Ste 3, Monroe, GA 30655 Phone: 770-267-4711 Fax: 770-267-7320 |