Dr Samer Othman Alharthi, MD | |
1400 River Pl, Braselton, GA 30517-5600 | |
(770) 848-8000 | |
Not Available |
Full Name | Dr Samer Othman Alharthi |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 1400 River Pl, Braselton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093166316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 0101271963 (Virginia) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 97342 (Georgia) | Primary |
Entity Name | Northeast Georgia Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Mailing Address | Practice Location Address |
---|---|
Dr Samer Othman Alharthi, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Samer Othman Alharthi, MD 1400 River Pl, Braselton, GA 30517-5600 Ph: (770) 848-8000 |
Christopher William Soika, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 201, Braselton, GA 30517 Phone: 770-219-9200 | |
Lya Crichlow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 201, Braselton, GA 30517 Phone: 770-219-9200 | |
J Christopher Brandys, MD FRCS FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 1404 River Pl, Suite 201, Braselton, GA 30517 Phone: 770-219-9200 Fax: 770-219-9274 | |
Sumona Smith, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl, Suite 201, Braselton, GA 30517 Phone: 770-219-4000 Fax: 770-219-4001 | |
Hasco William Craver Iii, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 494 Gold Crest Dr, Braselton, GA 30517 Phone: 706-654-3354 | |
James George Chambers Iv, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl, Suite 201, Braselton, GA 30517 Phone: 770-219-9200 Fax: 770-219-9273 |