Randi Tatum, DO | |
2701 Meredyth Dr, Albany, GA 31707-2267 | |
(229) 883-7010 | |
Not Available |
Full Name | Randi Tatum |
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Gender | Female |
Speciality | Pediatrics |
Location | 2701 Meredyth Dr, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083062160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | UO4893 (Florida) | Secondary |
208000000X | Pediatrics | 83638 (Georgia) | Primary |
Entity Name | Tift Regional Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
Entity Name | Privia Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Entity Name | Tift Regional Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
Mailing Address | Practice Location Address |
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Randi Tatum, DO 2701 Meredyth Dr, Albany, GA 31707-2267 Ph: () - | Randi Tatum, DO 2701 Meredyth Dr, Albany, GA 31707-2267 Ph: (229) 883-7010 |
Mr. Marcus Allen Stripling, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Dr. Dennis Alan Twedt, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1909 Aberdeen Rd, Suite 106, Albany, GA 31701 Phone: 229-432-7444 Fax: 229-432-7445 | |
Dr. Max Kuo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 810 13th Ave Ste 107, Albany, GA 31701 Phone: 229-883-4749 Fax: 229-883-3910 | |
Dr. Danice B Roberts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Palmyra Rd, Albany, GA 31701 Phone: 229-434-1400 Fax: 229-434-0040 | |
Diosita Watin Lariosa, M.D.,P.C. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 513 W 2nd Ave, Albany, GA 31701 Phone: 229-432-7444 Fax: 229-432-7445 | |
Dr. Tania Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Pointe North Blvd, Albany, GA 31721 Phone: 229-903-4044 Fax: 229-903-4055 |