Katherine Johnson Fields, MD | |
200 Gentilly Blvd, Cartersville, GA 30120-8504 | |
(470) 490-6860 | |
(678) 721-9457 |
Full Name | Katherine Johnson Fields |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 200 Gentilly Blvd, Cartersville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184784464 | NPI | - | NPPES |
000903097A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 049891 (Georgia) | Primary |
Entity Name | Harbin Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679599088 PECOS PAC ID: 0446154231 Enrollment ID: O20031124000117 |
Mailing Address | Practice Location Address |
---|---|
Katherine Johnson Fields, MD 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000 | Katherine Johnson Fields, MD 200 Gentilly Blvd, Cartersville, GA 30120-8504 Ph: (470) 490-6860 |
Dr. Thomas Donald Ryan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Collins Dr, Suite B, Cartersville, GA 30120 Phone: 770-607-0795 Fax: 770-607-1339 | |
Dr. Jeannette Chua Cocabo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Collins Dr Ste B, Cartersville, GA 30120 Phone: 770-607-0795 Fax: 770-607-1339 | |
Tammy Watkins Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6860 Fax: 678-721-9457 | |
William R Payne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 970 Joe Frank Harris Pkwy, Ste 350, Cartersville, GA 30120 Phone: 770-386-3011 Fax: 770-386-9451 | |
Dr. Preston Heath Leonard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6860 Fax: 678-721-9457 | |
Alexis Smith, PNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 214 Malbone St Sw, Cartersville, GA 30120 Phone: 678-477-3215 |