Kenneth Chen, MD | |
2213 A Exchange Place, Conyers, GA 30013-6723 | |
(770) 483-4431 | |
(770) 760-7200 |
Full Name | Kenneth Chen |
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Gender | Male |
Speciality | Pediatrics |
Location | 2213 A Exchange Place, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881794881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | NY241700 (New York) | Secondary |
208000000X | Pediatrics | 062825 (Georgia) | Primary |
Entity Name | Jsj Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639877343 PECOS PAC ID: 4284090358 Enrollment ID: O20230515003328 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Chen, MD 2213 A Exchange Place, Conyers, GA 30013-6723 Ph: (770) 483-4431 | Kenneth Chen, MD 2213 A Exchange Place, Conyers, GA 30013-6723 Ph: (770) 483-4431 |
Ghulam Mustafa Jarwar, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Honey Creek Pkwy Se, Suite E, Conyers, GA 30013 Phone: 770-922-0553 Fax: 770-922-6882 | |
Ms. Jessica Ming-chu Doyle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2213 Exchange Pl Se, Conyers, GA 30013 Phone: 770-483-4431 Fax: 770-760-7200 | |
Dr. Amit M Deokar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1765 Parker Rd Se Ste 210, Conyers, GA 30094 Phone: 770-761-0672 | |
Dr. Shyronda Yvette Pleasant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1298 Wellbrook Cir Ne Ste A, Conyers, GA 30012 Phone: 770-648-6620 Fax: 770-679-0559 | |
Bruce Beeber, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1009 Milstead Ave, Ste 110, Conyers, GA 30012 Phone: 770-922-1400 Fax: 770-922-3437 | |
Dr. Donna-marie Erika Brown, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1498 Klondike Rd Sw, Ste 106, Conyers, GA 30094 Phone: 770-860-8177 Fax: 770-860-8166 | |
Mrs. Cheryl Hermione Richmond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1478 Dogwood Drive, Ste. B & C, Kaiser Permanente Medical Office, Conyers, GA 30013 Phone: 770-909-8007 Fax: 770-909-8005 |