Robert R Roche, MD | |
3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | |
(770) 436-3162 | |
Not Available |
Full Name | Robert R Roche |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3949 S Cobb Dr Se, Smyrna, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932189842 | NPI | - | NPPES |
000223066 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 020598 (Georgia) | Primary |
Entity Name | Quantum Medical Radiology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164475869 PECOS PAC ID: 3577468040 Enrollment ID: O20031211000366 |
Mailing Address | Practice Location Address |
---|---|
Robert R Roche, MD Po Box 1168780, Atlanta, GA 30368-6878 Ph: (877) 448-8675 | Robert R Roche, MD 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 Ph: (770) 436-3162 |
Barbara B Waters, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Amanda F Bauer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Mr. John C Lipman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3670 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 770-953-2600 Fax: 770-953-2602 | |
Dr. Robert Mitchell Ermentrout, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3670 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 770-953-2600 Fax: 770-953-2602 | |
Kenneth J Gargan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Emeka S Oraka, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Ashford Mcallister, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 |