Fonda A Mitchell, MD MBA | |
3650 Steve Reynolds Blvd, Department Of Obstetrics & Gynecology, Duluth, GA 30096-4506 | |
(404) 364-7000 | |
Not Available |
Full Name | Fonda A Mitchell |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
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 |
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1811095847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207V00000X | Obstetrics & Gynecology | 047490 (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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Fonda A Mitchell, MD MBA 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7000 | Fonda A Mitchell, MD MBA 3650 Steve Reynolds Blvd, Department Of Obstetrics & Gynecology, Duluth, GA 30096-4506 Ph: (404) 364-7000 |
Kelley Wages Starnes, CNM Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 770-931-6110 Fax: 404-252-6794 | |
Dr. Jacqueline Mache Walters, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3630 Savannah Pl Ste 100, Duluth, GA 30096 Phone: 678-474-0203 Fax: 678-474-0207 | |
Dr. Pearl Gem Hwang, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 770-931-6110 | |
Dr. Vanessa Theresa Rigaud, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Duluth, GA 30096 Phone: 404-365-0966 | |
Dr. Thaddeus Ivory Lancaster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096 Phone: 678-312-7800 Fax: 678-312-7818 | |
Dr. Andrea Lenore Christian Parks, MD/MBA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Office - Ob/gyn, Duluth, GA 30096 Phone: 770-931-6012 | |
Carl B Harms, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3650 Steve Reynolds Boul, Duluth, GA 30096 Phone: 770-931-6012 |