Mrs Jamika Warren Trawick, MD | |
2565 Jolly Rd, Suite A, College Park, GA 30349-3103 | |
(404) 765-9437 | |
(404) 669-9347 |
Full Name | Mrs Jamika Warren Trawick |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2565 Jolly Rd, College Park, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477578375 | NPI | - | NPPES |
0107371001 | Medicaid | WV | |
577573746C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 21660 (West Virginia) | Primary |
Entity Name | Southside Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jamika Warren Trawick, MD 2565 Jolly Rd, Suite A, College Park, GA 30349-3103 Ph: (404) 765-9437 | Mrs Jamika Warren Trawick, MD 2565 Jolly Rd, Suite A, College Park, GA 30349-3103 Ph: (404) 765-9437 |
Dr. Roslyn Payne-pamphile, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5495 Old National Hwy Ste B2, College Park, GA 30349 Phone: 404-559-8847 Fax: 404-559-8998 | |
Gertrude Brown Arrington, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1720 Phoenix Blvd, College Park, GA 30349 Phone: 770-909-8007 Fax: 770-909-8005 | |
Brittany Renee Cole, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2565 Jolly Rd Ste A, College Park, GA 30349 Phone: 404-765-9437 Fax: 770-964-9021 | |
Dr. Helena K Bentley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2565 Jolly Rd Ste A, College Park, GA 30349 Phone: 404-765-9437 Fax: 770-964-9021 |