Dr Meredith Udell, MD | |
11 Charlie Morris Rd, Colbert, GA 30628-2445 | |
(706) 788-2127 | |
Not Available |
Full Name | Dr Meredith Udell |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 11 Charlie Morris Rd, Colbert, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871768002 | NPI | - | NPPES |
5918073 | Medicaid | NC | |
NC1447 | Medicaid | SC | |
003123988C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 148900 (North Carolina) | Secondary |
208000000X | Pediatrics | 067451 (Georgia) | Primary |
Entity Name | Medlink Georgia, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794541 PECOS PAC ID: 3274442850 Enrollment ID: O20040303000376 |
Mailing Address | Practice Location Address |
---|---|
Dr Meredith Udell, MD Po Box 459, Colbert, GA 30628-0459 Ph: (706) 788-2127 | Dr Meredith Udell, MD 11 Charlie Morris Rd, Colbert, GA 30628-2445 Ph: (706) 788-2127 |
Jorie Muraida, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 | |
Dr. Elizabeth Broman Long, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 Fax: 706-788-2815 | |
Kelly Pascual Montgomery, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 Fax: 706-788-2815 | |
Dr. Akilah S Tomingas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 |