Mr John C Lipman, MD | |
3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 | |
(770) 953-2600 | |
(770) 953-2602 |
Full Name | Mr John C Lipman |
---|---|
Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 3670 Highlands Pkwy Se, Smyrna, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124096219 | NPI | - | NPPES |
000468905Q | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 034012 (Georgia) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 034012 (Georgia) | Primary |
Entity Name | Atlanta Interventional Institute Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891763140 PECOS PAC ID: 5193782845 Enrollment ID: O20041214000595 |
Mailing Address | Practice Location Address |
---|---|
Mr John C Lipman, MD 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 Ph: (770) 953-2600 | Mr John C Lipman, MD 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 Ph: (770) 953-2600 |
Barbara B Waters, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Amanda F Bauer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Dr. Robert Mitchell Ermentrout, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3670 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 770-953-2600 Fax: 770-953-2602 | |
Kenneth J Gargan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Emeka S Oraka, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Ashford Mcallister, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 |