Osara Dhevmi Malalasekara, MD | |
708 S 8th St, Griffin, GA 30224-4827 | |
(770) 228-5402 | |
Not Available |
Full Name | Osara Dhevmi Malalasekara |
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Gender | Female |
Speciality | Family Medicine |
Location | 708 S 8th St, Griffin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578127627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 91010 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
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Osara Dhevmi Malalasekara, MD 708 S 8th St, Griffin, GA 30224-4827 Ph: (770) 228-5402 | Osara Dhevmi Malalasekara, MD 708 S 8th St, Griffin, GA 30224-4827 Ph: (770) 228-5402 |
Mr. Kenneth Dale Autry, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 726 S 8th St, Griffin, GA 30224 Phone: 770-228-2273 | |
Vicki Lyndall Van, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 S Hill St, Griffin, GA 30224 Phone: 770-228-5407 | |
Mrs. Ashley Newby Finney, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1009 Holliday Pass, Griffin, GA 30223 Phone: 678-588-3099 | |
David Anthony De La Sierra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 S 8th St, Griffin, GA 30224 Phone: 770-467-1224 Fax: 770-467-1225 | |
Kyong Rok Moon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1657 N Expressway, Griffin, GA 30223 Phone: 770-228-2641 Fax: 770-467-9764 | |
James Gore, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1657 N Expressway, Griffin, GA 30223 Phone: 770-228-2641 Fax: 770-467-9764 | |
Erin Kathleen Jones, MSN, APRN, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 S Hill St, Griffin, GA 30224 Phone: 770-228-5707 |