Keith Harlan, MD | |
4575 North Shallowford Road, Dunwoody, GA 30338 | |
(770) 454-4286 | |
(770) 454-4065 |
Full Name | Keith Harlan |
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Gender | Male |
Speciality | Anesthesiology |
Location | 4575 North Shallowford Road, Dunwoody, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447205489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 049235 (Georgia) | Primary |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
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Keith Harlan, MD Po Box 70128, Marietta, GA 30007-0128 Ph: (770) 578-1800 | Keith Harlan, MD 4575 North Shallowford Road, Dunwoody, GA 30338 Ph: (770) 454-4286 |
Timothy Boozer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4575 N Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Richard A Shmerling, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Kyriakos Tarasidis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Sidney M Simpkins, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
James E Hinkle, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Tyrone Baines Ii, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 |