Kevin D Mason, MD | |
1405 Franklin Rd Se, Marietta, GA 30067-8721 | |
(770) 951-5400 | |
(770) 951-5408 |
Full Name | Kevin D Mason |
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Gender | Male |
Speciality | Pediatrics |
Location | 1405 Franklin Rd Se, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427094549 | NPI | - | NPPES |
000326851O | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 028604 (Georgia) | Primary |
Entity Name | Morehouse Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570 |
Mailing Address | Practice Location Address |
---|---|
Kevin D Mason, MD 720 Westview Dr Sw, Atlanta, GA 30310-1458 Ph: (770) 951-5400 | Kevin D Mason, MD 1405 Franklin Rd Se, Marietta, GA 30067-8721 Ph: (770) 951-5400 |
Mrs. Nicole A Smail, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062 Phone: 770-978-4700 | |
Dr. Stephanie Lynette Poole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 Campbell Hill St Nw Ste 103, Marietta, GA 30060 Phone: 770-499-8909 Fax: 770-499-8911 | |
Brenda L Marino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 677 Church St, Hospital Based Only Kennestone Wellstar, Marietta, GA 30060 Phone: 770-779-3603 Fax: 770-793-9925 | |
Carla A Mclean-joseph, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 County Services Pkwy Sw, Marietta, GA 30008 Phone: 770-528-4192 Fax: 770-528-5463 | |
Dr. Bianca Camac Bell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5672 | |
Dr. Lori Spitzer Corley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3707 Largent Way Nw, Marietta, GA 30064 Phone: 678-581-5729 Fax: 678-581-5719 | |
Mr. Richard Rhodes, NP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd Ste 100, Marietta, GA 30062 Phone: 770-973-4700 |