Jeremiah A D'annunzio, PNP | |
210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | |
(706) 938-0990 | |
(706) 647-3861 |
Full Name | Jeremiah A D'annunzio |
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Gender | Male |
Speciality | Pediatrics |
Location | 210 Hannahs Mill Rd, Thomaston, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437713112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | RN284896 (Georgia) | Primary |
Entity Name | Zoe Center For Pediatric & Adolescent Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053684936 PECOS PAC ID: 3678903820 Enrollment ID: O20200430002123 |
Mailing Address | Practice Location Address |
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Jeremiah A D'annunzio, PNP 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 Ph: (706) 938-0990 | Jeremiah A D'annunzio, PNP 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 Ph: (706) 938-0990 |
Kevin Lee Delli-gatti, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 W Gordon St, Thomaston, GA 30286 Phone: 706-647-1680 Fax: 706-646-3125 | |
Stephanie H Kong, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 210 Hannahs Mill Rd, Thomaston, GA 30286 Phone: 706-938-0990 | |
Kathy E Mansfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 331 W Main St, Thomaston, GA 30286 Phone: 706-646-4543 Fax: 706-938-0401 | |
Miss Jody Lynn Dolan, APRN, PNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Hannahs Mill Rd, Thomaston, GA 30286 Phone: 706-938-0990 Fax: 706-647-3861 |