Olatomide T Familusi, MD | |
2550 Windy Hill Rd Se Ste 312, Marietta, GA 30067-8655 | |
(516) 983-7269 | |
Not Available |
Full Name | Olatomide T Familusi |
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Gender | Female |
Speciality | Plastic Surgery |
Location | 2550 Windy Hill Rd Se Ste 312, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053766352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 93753 (Georgia) | Primary |
Entity Name | Northside Surgical Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
Entity Name | Breast Body Beauty Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669927075 PECOS PAC ID: 5496041253 Enrollment ID: O20160906001016 |
Mailing Address | Practice Location Address |
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Olatomide T Familusi, MD 2550 Windy Hill Rd Se Ste 312, Marietta, GA 30067-8655 Ph: (516) 983-7269 | Olatomide T Familusi, MD 2550 Windy Hill Rd Se Ste 312, Marietta, GA 30067-8655 Ph: (516) 983-7269 |
Dr. Donald Keith West, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 823 Campbell Hill St Nw, Marietta, GA 30060 Phone: 770-425-0118 Fax: 770-426-1626 | |
Dr. Stanley A Okoro, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2285 Asquith Ave Sw, Suite 200, Marietta, GA 30008 Phone: 770-485-1554 | |
Dr. Rajae A Janho, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2759 Delk Rd Se, Suite 2400, Marietta, GA 30067 Phone: 770-858-0062 Fax: 770-858-1729 | |
Aisha Jenelle Mcknight Baron, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2550 Windy Hill Rd Se, Suite # 312, Marietta, GA 30067 Phone: 770-661-0201 | |
Dr. Michael Jeffery Mcneel, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 823 Campbell Hill St Nw, Marietta, GA 30060 Phone: 770-425-0118 Fax: 770-426-1626 | |
Dr. Thaddeus Sebastian Fabian, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 823 Campbell Hill St Nw, Marietta, GA 30060 Phone: 770-425-0118 Fax: 770-426-1626 |