Dr Robert Lacour Mitchell, MD | |
1266 Highway 515 S, Jasper, GA 30143 | |
(706) 692-2441 | |
(706) 301-5352 |
Full Name | Dr Robert Lacour Mitchell |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1266 Highway 515 S, Jasper, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194756676 | NPI | - | NPPES |
P00318977 | Other | GA | RAILROAD MEDICARE |
000855324M | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 047491 (Georgia) | Secondary |
207R00000X | Internal Medicine | 047491 (Georgia) | Primary |
207P00000X | Emergency Medicine | 047491 (Georgia) | Secondary |
Entity Name | Burke County Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053672527 PECOS PAC ID: 5193971422 Enrollment ID: O20130401000294 |
Entity Name | Emergency Physicians Of Forsyth, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518488618 PECOS PAC ID: 1850663626 Enrollment ID: O20170815001575 |
Mailing Address | Practice Location Address |
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Dr Robert Lacour Mitchell, MD 1584 Timberland Rd Ne, Atlanta, GA 30345-4163 Ph: (404) 633-1261 | Dr Robert Lacour Mitchell, MD 1266 Highway 515 S, Jasper, GA 30143 Ph: (706) 692-2441 |
Dr. Jimmie Dale Cannon Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 J.l. White Drive, Suite 100, Jasper, GA 30143 Phone: 706-253-8001 Fax: 706-253-8002 | |
Karl Mareth, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143 Phone: 706-253-7340 | |
Dr. Bryan D Hooker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Sammy Mcghee Blvd Ste 204, Jasper, GA 30143 Phone: 706-253-3842 Fax: 706-253-3837 | |
Neetu Pannala-lakshma Reddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 150, Jasper, GA 30143 Phone: 706-299-2200 | |
Dr. Michael Dan Perrino, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Mountainside Village Pkwy, Building 500, Jasper, GA 30143 Phone: 706-253-7340 | |
Jason Andrew Berner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr, Suite 110, Jasper, GA 30143 Phone: 706-253-3842 Fax: 706-253-3837 | |
Christine E. Dukes, FNP-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 51 Gordon Rd, Jasper, GA 30143 Phone: 706-692-9768 |