Dr Melissa Merrill Magill, MD | |
297 Cooper Rd, Loganville, GA 30052-2518 | |
(678) 381-2630 | |
(678) 381-2627 |
Full Name | Dr Melissa Merrill Magill |
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Gender | Female |
Speciality | Pediatrics |
Location | 297 Cooper Rd, Loganville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932119377 | NPI | - | NPPES |
452405206N | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E13059 (Arkansas) | Secondary |
208000000X | Pediatrics | 057218 (Georgia) | Primary |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20050127000072 |
Mailing Address | Practice Location Address |
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Dr Melissa Merrill Magill, MD 297 Cooper Rd, Loganville, GA 30052-2518 Ph: (678) 381-2630 | Dr Melissa Merrill Magill, MD 297 Cooper Rd, Loganville, GA 30052-2518 Ph: (678) 381-2630 |
Vicki Williams Morgan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 678-527-6000 Fax: 770-466-6201 | |
Dr. Holly Lorraine Hubbard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4495 Atlanta Hwy, Building 200, Loganville, GA 30052 Phone: 770-710-0117 Fax: 470-223-4229 |