Dr Manohar N Nallathambi, MD, FACS | |
1040 Eagles Landing Pkwy, Suite100, Stockbridge, GA 30281-9072 | |
(770) 474-7287 | |
(770) 389-3713 |
Full Name | Dr Manohar N Nallathambi |
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Gender | Male |
Speciality | Surgery |
Location | 1040 Eagles Landing Pkwy, Stockbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386632941 | NPI | - | NPPES |
00341998C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 029356 (Georgia) | Primary |
Entity Name | Surgery South Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861527616 PECOS PAC ID: 5991786725 Enrollment ID: O20040527000729 |
Mailing Address | Practice Location Address |
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Dr Manohar N Nallathambi, MD, FACS 1040 Eagles Landing Pkwy, Suite100, Stockbridge, GA 30281-9072 Ph: (770) 474-7287 | Dr Manohar N Nallathambi, MD, FACS 1040 Eagles Landing Pkwy, Suite100, Stockbridge, GA 30281-9072 Ph: (770) 474-7287 |
Dr. Ahmad Ibn Nuriddin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagles Landing Pkwy, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Jarrod D Day, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Country Club Dr, Suite A, Stockbridge, GA 30281 Phone: 770-692-4000 Fax: 770-692-2400 | |
Dr. Brian S Myers, M.D., F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagles Landing Pkwy, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Reema Mallick, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagle's Landing Parkway, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Dr. Daniel Thomas Mcdevitt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1035 Southcrest Dr, Suite 250, Stockbridge, GA 30281 Phone: 770-996-9945 Fax: 770-996-7355 | |
Jose L. Fernandez-gerena, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagles Landing Parkway, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Dr. Gregory L Erdelyan, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1104 Hospital Dr, Stockbridge, GA 30281 Phone: 678-289-2003 Fax: 678-289-0191 |