Jane S Clark, | |
1107 Memorial Dr, Suite 201, Dalton, GA 30720-8662 | |
(706) 277-7311 | |
Not Available |
Full Name | Jane S Clark |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 1107 Memorial Dr, Dalton, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659530004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 246083 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hamilton Medical Center | Dalton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Skin Cancer And Cosmetic Dermatology Center Pc | 3375591209 | 19 |
Skin Cancer And Cosmetic Dermatology Center Pc | 8224118773 | 24 |
Entity Name | Skin Cancer & Cosmetic Dermatology Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376605394 PECOS PAC ID: 3375591209 Enrollment ID: O20050107000373 |
Mailing Address | Practice Location Address |
---|---|
Jane S Clark, 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8662 Ph: (706) 277-7311 | Jane S Clark, 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8662 Ph: (706) 277-7311 |
Dr. John Y Chung, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr, Ste 201, Dalton, GA 30720 Phone: 706-277-7311 Fax: 706-272-3512 | |
Mrs. Jordan Nix Ralston, P.A.-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1108 Professional Blvd, Dalton, GA 30720 Phone: 706-226-7546 Fax: 706-529-6628 | |
Dr. Mary Elizabeth Cole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1108 Professional Blvd, Dalton, GA 30720 Phone: 706-226-7546 | |
Dr. Luis Alberto Gomez Vaca, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr Ste 201, Dalton, GA 30720 Phone: 706-277-7311 Fax: 706-272-3512 |