Susan M Goldberg, MD | |
4321 University Pkwy, Suite 104, Evans, GA 30809-3058 | |
(706) 854-2600 | |
(706) 854-2601 |
Full Name | Susan M Goldberg |
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Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 4321 University Pkwy, Evans, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497787139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 057465 (Georgia) | Secondary |
2080A0000X | Pediatrics - Adolescent Medicine | 057465 (Georgia) | Primary |
Entity Name | Augusta Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518169168 PECOS PAC ID: 6608977251 Enrollment ID: O20070726000065 |
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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Susan M Goldberg, MD 4321 University Pkwy, Suite 104, Evans, GA 30809-3058 Ph: (706) 854-2600 | Susan M Goldberg, MD 4321 University Pkwy, Suite 104, Evans, GA 30809-3058 Ph: (706) 854-2600 |
Steven R. Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 411 Town Park Blvd, Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559 | |
Dr. Karen Foushee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 411 Town Park Blvd., Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559 | |
Natalie Wynn Deal, PA-C Pediatrics Medicare: Medicare Enrolled Practice Location: 4321 University Pkwy Ste 104, Evans, GA 30809 Phone: 706-854-2600 | |
Melissa Criscillis, CPNP-AC Pediatrics Medicare: Medicare Enrolled Practice Location: 411 Town Park Blvd, Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559 | |
Anna Katherine Rees, Pediatrics Medicare: Medicare Enrolled Practice Location: 411 Town Park Blvd, Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559 | |
Yolanda Roberta Safford Jones, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 411 Town Park Blvd, Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559 | |
Dr. Margaret Mcgee Renew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4321 University Pkwy, Suite 104, Evans, GA 30809 Phone: 706-854-2600 Fax: 706-854-2601 |