Philip M Tatum Jr, MD | |
Division Of Neonatology, Medical Center Blvd, Winston Salem, NC 27157-0001 | |
(336) 716-4663 | |
Not Available |
Full Name | Philip M Tatum Jr |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | Division Of Neonatology, Winston Salem, North Carolina |
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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1952519928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 067809 (Georgia) | Primary |
Entity Name | Pediatrix Medical Group Of Ga, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295827574 PECOS PAC ID: 7416927447 Enrollment ID: O20040728000431 |
Mailing Address | Practice Location Address |
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Philip M Tatum Jr, MD 306 Glendale Ave, Decatur, GA 30030-1920 Ph: (205) 478-3210 | Philip M Tatum Jr, MD Division Of Neonatology, Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-4663 |
Niyati Mahajan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2295 E 14th St, Winston Salem, NC 27105 Phone: 336-713-8860 Fax: 336-713-8862 | |
Dr. Soren Morgan Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 Phone: 336-718-8000 Fax: 336-718-8011 | |
Jane Meschan Foy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Modupeola O Akinola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
David Scott Anderson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 Phone: 336-718-8000 Fax: 336-718-8011 | |
Dr. Veronica Nicola Wiltshire, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 Brookview Hills Blvd Ste 201, Winston Salem, NC 27103 Phone: 336-713-8660 Fax: 336-702-9276 | |
Mrs. Julie Renee Kerth, CPNP-AC Pediatrics Medicare: Medicare Enrolled Practice Location: Wake Forest Baptist Medical Center 1, Winston Salem, NC 27157 Phone: 336-713-4500 |