Lanalee A Sam, MD | |
750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | |
(404) 365-0966 | |
Not Available |
Full Name | Lanalee A Sam |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 750 Townpark Ln Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134195837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207V00000X | Obstetrics & Gynecology | 080226 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Lanalee A Sam, MD 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 Ph: (404) 365-0966 | Lanalee A Sam, MD 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 Ph: (404) 365-0966 |
Dr. Halima Malkia Daboiko, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 750 Town Park Lane, Dept Of Ob/gyn, Kennesaw, GA 30144 Phone: 404-365-0966 | |
Mrs. Angela S Paas, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1595 Kennesaw Due West Rd Nw Ste 100, Kennesaw, GA 30152 Phone: 470-308-3365 Fax: 770-627-5228 | |
Jennifer G Rewis, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 750 Town Park Lane, Department Of Obstetrics & Gynecology, Kennesaw, GA 30144 Phone: 770-514-5401 | |
Christopher Joseph Cadle, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Department Of Obstetrics & Gynecology, 750 Townpark Lane, Kennesaw, GA 30144 Phone: 770-514-5401 | |
Barbara A Smith, CNP Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 750 Town Park Lane, Department Of Obstetrics & Gynecology, Kennesaw, GA 30144 Phone: 770-514-5401 | |
Dr. Mojgan Khatami, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1690 Stone Village Ln Nw, Suite401, Kennesaw, GA 30152 Phone: 770-427-2533 Fax: 770-427-2534 |