Ms Melanie L Cooper, MD | |
578 S Enota Dr Ne Ste C, Gainesville, GA 30501-8947 | |
(470) 290-8474 | |
Not Available |
Full Name | Ms Melanie L Cooper |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 578 S Enota Dr Ne Ste C, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669427316 | NPI | - | NPPES |
000800588K | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | 045753 (Georgia) | Secondary |
207Q00000X | Family Medicine | 045753 (Georgia) | Primary |
Entity Name | Calixto J Cornavaca Diaz Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487140349 PECOS PAC ID: 2961756432 Enrollment ID: O20181120000757 |
Mailing Address | Practice Location Address |
---|---|
Ms Melanie L Cooper, MD 578 S Enota Dr Ne Ste C, Gainesville, GA 30501-8947 Ph: (470) 290-8474 | Ms Melanie L Cooper, MD 578 S Enota Dr Ne Ste C, Gainesville, GA 30501-8947 Ph: (470) 290-8474 |
Margaret Grifa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583 | |
Carlos Lucero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-219-7777 | |
Philip O. Kimsey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1292 Athens St, Gainesville, GA 30507 Phone: 770-219-9400 | |
Alaaedin Alhomosh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. John E Delzell Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-9445 | |
Gary Alan Jordan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-219-7777 Fax: 770-219-7778 | |
William K Bostock, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501 Phone: 770-219-9445 |