Nancy Elizabeth Clines, MD | |
4905 Courtney Dr, Forest Park, GA 30297-1427 | |
(404) 366-3636 | |
(404) 362-0808 |
Full Name | Nancy Elizabeth Clines |
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Gender | Female |
Speciality | Pediatrics |
Location | 4905 Courtney Dr, Forest 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 |
---|---|---|---|
1861827891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 62029 (Georgia) | Primary |
Entity Name | Mckinney Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487665733 PECOS PAC ID: 3173432226 Enrollment ID: O20040430000265 |
Mailing Address | Practice Location Address |
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Nancy Elizabeth Clines, MD 4905 Courtney Dr, Forest Park, GA 30297-1427 Ph: (404) 366-3636 | Nancy Elizabeth Clines, MD 4905 Courtney Dr, Forest Park, GA 30297-1427 Ph: (404) 366-3636 |
Dr. Salma Elmubarak Elkhabier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808 | |
Sherica Nicole Rosser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 526 Forest Pkwy Ste K, Forest Park, GA 30297 Phone: 770-545-2052 | |
Fahimot Oyinlola Faduyile, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808 | |
Daliannys Morales Mendez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808 | |
Abigail Kamishlian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808 | |
Dr. Crystal Mercia Malvoisin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808 | |
Dr. Shonte Henderson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 |