Rita Jen, MD | |
775 Poplar Rd Ste 160a, Newnan, GA 30265-8302 | |
(770) 400-4630 | |
Not Available |
Full Name | Rita Jen |
---|---|
Gender | Female |
Speciality | Urology |
Location | 775 Poplar Rd Ste 160a, Newnan, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215316658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 91302 (Georgia) | Primary |
208800000X | Urology | A168485 (California) | Secondary |
Entity Name | Piedmont Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
Mailing Address | Practice Location Address |
---|---|
Rita Jen, MD 1441 Eastlake Ave, Ste 7416, Los Angeles, CA 90089-1020 Ph: (323) 865-3589 | Rita Jen, MD 775 Poplar Rd Ste 160a, Newnan, GA 30265-8302 Ph: (770) 400-4630 |
Scott W Shelfo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-343-7692 | |
Roger Chen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Poplar Rd Ste 160, Newnan, GA 30265 Phone: 770-715-5192 Fax: 706-721-2548 | |
Bob B. Mann, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Poplar Rd, Suite 160, Newnan, GA 30265 Phone: 770-470-0463 Fax: 678-423-2737 | |
Christopher Stiles Williamson, NP Urology Medicare: Not Enrolled in Medicare Practice Location: 775 Poplar Rd Ste 160a, Newnan, GA 30265 Phone: 770-400-4630 | |
Farhang Rabbani, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000 | |
Dr. Micah Shawn Blackmon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Poplar Rd, Suite 160, Newnan, GA 30265 Phone: 770-400-4630 Fax: 770-254-6069 |