Jennifer Lashay Atkins, MD | |
92 Ratliff St, Lucedale, MS 39452-6537 | |
(601) 947-8181 | |
Not Available |
Full Name | Jennifer Lashay Atkins |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 92 Ratliff St, Lucedale, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457679300 | NPI | - | NPPES |
00407762 | Medicaid | MS | |
170606 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 070420 (Georgia) | Secondary |
208000000X | Pediatrics | 32527 (Alabama) | Secondary |
208000000X | Pediatrics | 25924 (Mississippi) | Primary |
Entity Name | Community Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194734913 PECOS PAC ID: 8921072588 Enrollment ID: O20040820000647 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lashay Atkins, MD Po Box 1007, Lucedale, MS 39452-1007 Ph: (601) 947-1330 | Jennifer Lashay Atkins, MD 92 Ratliff St, Lucedale, MS 39452-6537 Ph: (601) 947-8181 |
Dr. Natoya Barnett-grindley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 92 Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 Fax: 601-947-4411 | |
Dr. Tara S. Mallett, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 92 W. Ratliff Street, Lucedale, MS 39452 Phone: 601-947-8181 Fax: 601-947-4411 |