Jon M Udwadia, MD | |
1500 Oglethorpe Ave Ste Cd, Athens, GA 30606-2179 | |
(706) 559-4188 | |
Not Available |
Full Name | Jon M Udwadia |
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Gender | Male |
Speciality | Pediatrics |
Location | 1500 Oglethorpe Ave Ste Cd, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730112657 | NPI | - | NPPES |
000964257A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 051898 (Georgia) | Primary |
Entity Name | Piedmont Athens Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245746783 PECOS PAC ID: 0648520841 Enrollment ID: O20180910002202 |
Mailing Address | Practice Location Address |
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Jon M Udwadia, MD 1500 Oglethorpe Ave Ste Cd, Athens, GA 30606-2179 Ph: (706) 559-4188 | Jon M Udwadia, MD 1500 Oglethorpe Ave Ste Cd, Athens, GA 30606-2179 Ph: (706) 559-4188 |
James Nicholas Frisk, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 125 Telfair Pl, Athens, GA 30606 Phone: 706-548-2454 | |
Victor Morales, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 706-389-3000 Fax: 706-389-3839 | |
Charles F Potter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 706-769-0005 | |
Kelly Elizabeth Ordemann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 504-453-5872 | |
Dr. Ashley Marie Bohn, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Oglethorpe Ave Ste 600ef, Athens, GA 30606 Phone: 706-613-5980 | |
Nancy C Hendrix, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hawthorne Park, Athens, GA 30606 Phone: 706-613-6136 Fax: 706-353-1604 | |
Pahola Nicolle Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Oglethorpe Ave Ste 600cd, Athens, GA 30606 Phone: 706-559-4188 Fax: 706-559-4177 |