Keri L Minton, PA | |
100 Professional Park, Suite 310, Carrollton, GA 30117-3874 | |
(770) 812-5902 | |
(770) 812-5903 |
Full Name | Keri L Minton |
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Gender | Female |
Speciality | Physician Assistant |
Location | 100 Professional Park, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932409166 | NPI | - | NPPES |
005947 | Other | GA | GA. LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 005947 (Georgia) | Primary |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Mailing Address | Practice Location Address |
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Keri L Minton, PA 69 Jesse Hill Jr Dr Se, Room 314a, Atlanta, GA 30303-3033 Ph: (404) 251-8916 | Keri L Minton, PA 100 Professional Park, Suite 310, Carrollton, GA 30117-3874 Ph: (770) 812-5902 |
Mr. David J Scholl, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 157 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-333-2220 Fax: 678-581-7180 | |
Sydney Hope Stone, Physician Assistant Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9666 | |
David Allen Scruggs, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
Brittney Buice, Physician Assistant Medicare: Medicare Enrolled Practice Location: 212 Meadow Run, Carrollton, GA 30116 Phone: 678-615-0531 | |
Timothy Echols, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Radha Patel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 909 S Park St, Carrollton, GA 30117 Phone: 678-782-9994 | |
Sarah Nowicki, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 157 Clinic Ave Ste 302c, Carrollton, GA 30117 Phone: 770-834-3336 |