| Edgar Wollam, | |
|
1660 Mulkey Rd, Ste B, Austell, GA 30106 | |
| (678) 460-2700 | |
| (770) 739-0212 |
| Full Name | Edgar Wollam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 1660 Mulkey Rd, Austell, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316978166 | NPI | - | NPPES |
| 000146187C | Medicaid | GA | |
| 920632 | Other | GA | AETNA |
| 000146187E | Medicaid | GA | |
| 0001416187H | Medicaid | GA | |
| 000146187F | Medicaid | GA | |
| 110059639 | Other | GA | RR MEDICARE |
| 000146187B | Medicaid | GA | |
| 000146187D | Medicaid | GA | |
| 356860 | Other | GA | BCBS |
| 581992673003 | Other | GA | UHC |
| 000146187G | Medicaid | GA | |
| 03169 | Other | GA | BCBS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 19436 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Wollam, 1660 Mulkey Rd, Ste B, Austell, GA 30106 Ph: (678) 460-2700 | Edgar Wollam, 1660 Mulkey Rd, Ste B, Austell, GA 30106 Ph: (678) 460-2700 |
Y Khalid Siddiq, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr, Suite 200, Austell, GA 30106 Phone: 770-948-5578 | |
Dr. Yousef Hindi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4025 Fax: 770-732-4023 | |
Dr. Manu Malepati, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Box 22, Austell, GA 30106 Phone: 470-732-4022 Fax: 470-732-4023 | |
Dr. Alaa El-din Soltan, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1668 Mulkey Rd Ste 164, Austell, GA 30106 Phone: 770-948-3233 Fax: 770-944-1537 | |
Ryan P Carrick, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3820 Medical Park Dr., Austell, GA 30106 Phone: 770-948-6041 | |
Dr. Jacob Nathan Blatt, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr, Suite 409, Austell, GA 30106 Phone: 770-424-6893 Fax: 770-528-9926 | |
Rashila Byrd, Nephrology Medicare: Medicare Enrolled Practice Location: 3825 Medical Park Dr Ste 300, Austell, GA 30106 Phone: 770-941-4810 Fax: 770-948-9149 |