Ebony B Whisenant, MD | |
Augusta University Medical Ctr 1120 15th Street, Augusta, GA 30912-2516 | |
(706) 721-8623 | |
(706) 721-1459 |
Full Name | Ebony B Whisenant |
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Gender | Female |
Speciality | Family Medicine |
Location | Augusta University Medical Ctr 1120 15th Street, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891957353 | NPI | - | NPPES |
83947 | Other | GA | GEORGIA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME106882 (Florida) | Secondary |
207Q00000X | Family Medicine | TRN12292 (Florida) | Secondary |
207Q00000X | Family Medicine | 83947 (Georgia) | Primary |
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Ebony B Whisenant, MD 1120 15th St Ste Bi1056, Augusta, GA 30912-0004 Ph: (706) 721-3813 | Ebony B Whisenant, MD Augusta University Medical Ctr 1120 15th Street, Augusta, GA 30912-2516 Ph: (706) 721-8623 |
Dr. Toya Hester Kelley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157 | |
Janis S. Coffin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264 | |
Dr. Thomas Christopher Smith, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 | |
Dr. William Robert Rout, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 963 Bennock Mill Dr., Augusta, GA 30906 Phone: 352-538-5899 | |
Racquel Puranda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 678-790-0634 | |
Angela Overstreet Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2607 Commons Blvd, Augusta, GA 30909 Phone: 706-750-8601 | |
Shahed Anam Ibn Faruk, Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 |