Laura Frantz Putnam, MD | |
4095 S Lee St, Buford, GA 30518-3647 | |
(770) 932-8519 | |
(770) 533-4798 |
Full Name | Laura Frantz Putnam |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4095 S Lee St, Buford, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013997444 | NPI | - | NPPES |
302586 | Other | GA | WELLCARE |
000476649C | Medicaid | GA | |
000476649D | Medicaid | GA | |
10032980 | Other | GA | AMERIGROUP |
000476649B | Medicaid | GA | |
000476649F | Medicaid | GA | |
6980458 | Other | GA | CIGNA |
000476649E | Medicaid | GA | |
2063542 | Other | GA | AETNA HMO |
000476649G | Medicaid | GA | |
1202904 | Other | GA | UNITED HEALTHCARE |
302569 | Other | GA | WELLCARE |
302572 | Other | GA | WELLCARE |
302565 | Other | GA | WELLCARE |
4216197 | Other | GA | AETNA PPO |
52660376 | Other | GA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 031651 (Georgia) | Primary |
Entity Name | The Longstreet Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Mailing Address | Practice Location Address |
---|---|
Laura Frantz Putnam, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Laura Frantz Putnam, MD 4095 S Lee St, Buford, GA 30518-3647 Ph: (770) 932-8519 |
Scott Gary Parsons, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1435 Broadmoor Blvd, Kaiser Permanente Sugar Hill/buford Medical Center, Buford, GA 30518 Phone: 678-765-5735 Fax: 803-765-9052 | |
Nirmala Bharadwaj, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Ridge Rd, Suite'b', Buford, GA 30519 Phone: 678-804-9398 Fax: 678-804-9415 | |
Richard Russell Shelton Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4095 S Lee St, Buford, GA 30518 Phone: 770-932-8519 Fax: 770-533-4798 |