Dr Samantha Dayawansa, MD | |
704 S Broad St, Thomasville, GA 31792-6107 | |
(229) 584-5760 | |
Not Available |
Full Name | Dr Samantha Dayawansa |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 704 S Broad St, Thomasville, 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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1376980649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | 95099 (Georgia) | Primary |
Entity Name | Archbold Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
Mailing Address | Practice Location Address |
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Dr Samantha Dayawansa, MD 900 Cairo Rd, Thomasville, GA 31792-4255 Ph: (229) 227-5102 | Dr Samantha Dayawansa, MD 704 S Broad St, Thomasville, GA 31792-6107 Ph: (229) 584-5760 |
Winston Craig Clark, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-584-5760 Fax: 229-584-5945 | |
Dr. Brian K. Russell, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr Ste 110, Thomasville, GA 31792 Phone: 850-999-4894 Fax: 850-668-0572 | |
Dr. Gerald N Kadis, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-226-8880 Fax: 229-226-6342 |