Emmanuel A Opanuga, MD | |
163 S Tallahassee St, Hazlehurst, GA 31539-6465 | |
(912) 375-7781 | |
(912) 375-4055 |
Full Name | Emmanuel A Opanuga |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 163 S Tallahassee St, Hazlehurst, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205815875 | NPI | - | NPPES |
00646918K | Medicaid | GA | |
52677630004 | Other | GA | BLUECROSS BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 39428 (Georgia) | Primary |
Entity Name | Donalsonville Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720095805 PECOS PAC ID: 7113919820 Enrollment ID: O20040401001194 |
Entity Name | Nes Georgia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144201559 PECOS PAC ID: 0345210001 Enrollment ID: O20040729000602 |
Mailing Address | Practice Location Address |
---|---|
Emmanuel A Opanuga, MD Po Box 277329, Atlanta, GA 30384-7329 Ph: (800) 377-8721 | Emmanuel A Opanuga, MD 163 S Tallahassee St, Hazlehurst, GA 31539-6465 Ph: (912) 375-7781 |
Brandon H. Anderson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
Leroy Winfield Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
William C. Chisholm, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
Vijay K. Mahathre, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
Dr. Roger John Venable, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 | |
John J Rogers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 |