Elena Dolmatova, | |
3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | |
(404) 365-0966 | |
Not Available |
Full Name | Elena Dolmatova |
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Gender | Female |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 3650 Steve Reynolds Blvd, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285029561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 94031 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Elena Dolmatova, 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 Ph: () - | Elena Dolmatova, 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 Ph: (404) 365-0966 |
Dr. Yeohan Song, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3500 Mcclure Bridge Rd, Duluth, GA 30096 Phone: 770-476-3636 Fax: 770-476-5845 | |
Dr. Aneesh Gupta, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1012 Sugarloaf Reserve Dr, Duluth, GA 30097 Phone: 912-713-2378 | |
Martin C Ettinger, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3650 Steve Reynolds Blvd, Internal Medicine Health Care Team C, Duluth, GA 30096 Phone: 770-931-6012 | |
Nasima Ali, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3060 Creek Falls Way, Duluth, GA 30097 Phone: 404-789-9416 | |
Dr. Lewin Go Chuachiaco, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Dept Of Int Med Hctc Kaiser Permanente Medical Center A, Duluth, GA 30096 Phone: 770-931-6210 Fax: 770-931-6015 | |
Dr. Richard Reid Maxa, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3505 Duluth Park Ln, Building 4, Ste 400, Duluth, GA 30096 Phone: 678-597-3180 Fax: 678-597-3181 | |
Wendy Lin Warren, APRN NP-C Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096 Phone: 470-292-3820 |