Loretta S Davis, MD | |
1120 15th St, Augusta, GA 30912-0004 | |
(706) 721-3291 | |
(706) 721-1459 |
Full Name | Loretta S Davis |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 42 Years |
Location | 1120 15th St, Augusta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346350832 | NPI | - | NPPES |
000508967A | Medicaid | GA | |
G35848 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 035848 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Au Medical Associates Inc | 9931013513 | 585 |
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Entity Name | Wellstar Medical Group, Llc |
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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 |
---|---|
Loretta S Davis, MD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 828-8402 | Loretta S Davis, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-3291 |
Dr. Avis Brown Yount, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 820 St Sebastian Way, Ste 6c, Augusta, GA 30901 Phone: 706-722-4280 Fax: 706-722-4298 | |
Dr. Karen Clepper Parviainen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 820 St Sebastian Way, Ste 6c, Augusta, GA 30901 Phone: 706-722-4280 Fax: 706-722-4298 | |
Dr. Edward Hardin Smith Jr., M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 514 Winchester Dr, Augusta, GA 30909 Phone: 706-738-2292 Fax: 706-738-2292 | |
Dr. Charlotte Smith Hand, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1248 Augusta West Pkwy, Augusta, GA 30909 Phone: 706-863-0500 | |
Lauren Eckert Ploch, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2283 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-733-3373 Fax: 706-733-3370 | |
Dr. Matthew Belcher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St Fl 5, Augusta, GA 30912 Phone: 706-721-0211 | |
Kathryn Potter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 |