Tasha Lavette Green, MD | |
125 Eagles Walk, Suite 150, Stockbridge, GA 30281-7208 | |
(678) 477-9230 | |
Not Available |
Full Name | Tasha Lavette Green |
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Gender | Female |
Speciality | Pediatrics |
Location | 125 Eagles Walk, Stockbridge, Georgia |
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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1477578797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 052108 (Georgia) | Primary |
Entity Name | Meridian Education Resource Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730305004 PECOS PAC ID: 1456583723 Enrollment ID: O20140502001158 |
Mailing Address | Practice Location Address |
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Tasha Lavette Green, MD 4228 Abram Dr, Conley, GA 30288-1739 Ph: () - | Tasha Lavette Green, MD 125 Eagles Walk, Suite 150, Stockbridge, GA 30281-7208 Ph: (678) 477-9230 |
Juan A Lama, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Blvd, Suite B, Stockbridge, GA 30281 Phone: 770-389-9944 Fax: 770-389-1973 | |
Ronald Allen Ligon Jr., M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281 Phone: 404-256-2593 | |
Dr. Steven W Leard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281 Phone: 678-289-0103 Fax: 678-289-0171 | |
Dr. Matthew Edward Oster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281 Phone: 404-256-2593 | |
Lankala Rajendra Reddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Blvd, Ste B, Stockbridge, GA 30281 Phone: 770-389-9944 Fax: 770-389-1973 | |
Dr. Patrick Neal Pulliam, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Country Club Dr Bldg 200a, Stockbridge, GA 30281 Phone: 770-389-4543 Fax: 770-474-0566 | |
David W Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1050 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281 Phone: 678-289-1988 Fax: 678-289-1512 |