Kenneth T Horlander, MD | |
Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | |
(706) 882-8831 | |
(706) 812-4091 |
Full Name | Kenneth T Horlander |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 27 Years |
Location | Clark-holder Clinic, P.a., Lagrange, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093750051 | NPI | - | NPPES |
009984970 | Medicaid | AL | |
046128 | Other | GA | GEORGIA LICENSE |
000944974B | Medicaid | GA | |
000944974A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 46128 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Specialty Associates, Llc | 3476559782 | 435 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Kenneth T Horlander, MD Emory At Lagrange, 303 Smith Street, Lagrange, GA 30240-2745 Ph: (706) 882-8831 | Kenneth T Horlander, MD Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Ph: (706) 882-8831 |
Ravina V Kadam, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240 Phone: 706-880-7361 | |
Syed Abuzar Waseem Ahmed, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1602 Vernon Rd Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Melhim Bou Alwan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
Dr. Ariyo Oluwole Olobatoke, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7222 Fax: 706-880-7223 | |
Priyesh R Patel, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
Dr. Brad Alan Bowyer, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7311 Fax: 706-880-7360 |