Dr Robert Van Gallera, MD | |
1480 Baxter St, Athens, GA 30606-6393 | |
(706) 543-0228 | |
Not Available |
Full Name | Dr Robert Van Gallera |
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Gender | Male |
Speciality | Family Medicine |
Location | 1480 Baxter St, Athens, 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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1881872000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 037717 (Georgia) | Primary |
Entity Name | Peachtree Immediate Care Fp, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
Mailing Address | Practice Location Address |
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Dr Robert Van Gallera, MD 1480 Baxter St, Athens, GA 30606-6393 Ph: (706) 543-0228 | Dr Robert Van Gallera, MD 1480 Baxter St, Athens, GA 30606-6393 Ph: (706) 543-0228 |
Dr. Ron Elliott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Dr. Garth Russo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Mr. Errol Duncan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1061 Dowdy Rd, Suite 100, Athens, GA 30606 Phone: 706-621-7575 Fax: 706-621-7557 | |
Samuel C Griffin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, Suite 101, Athens, GA 30606 Phone: 706-548-6068 Fax: 706-354-1218 | |
Ruth Adetoun Adene-peter, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 485 Highway 29 N, Athens, GA 30601 Phone: 706-438-4080 Fax: 706-438-4081 | |
Jordan Phillips, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Oglethorpe Ave Ste C7, Athens, GA 30606 Phone: 706-425-9445 | |
Michael N Carter, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 892 Prince Ave, Athens, GA 30606 Phone: 706-227-2027 Fax: 706-227-2433 |