Srutte Panta, | |
3151 Royal Creek Way Sw, Lilburn, GA 30047-1884 | |
(404) 345-4420 | |
Not Available |
Full Name | Srutte Panta |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 3151 Royal Creek Way Sw, Lilburn, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033990601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | RN267277 (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 |
Entity Name | Emory Medical Care Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Mailing Address | Practice Location Address |
---|---|
Srutte Panta, 3151 Royal Creek Way Sw, Lilburn, GA 30047-1884 Ph: (404) 345-4420 | Srutte Panta, 3151 Royal Creek Way Sw, Lilburn, GA 30047-1884 Ph: (404) 345-4420 |
Todd Bender, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5032 Green Oak Dr Sw, Lilburn, GA 30047 Phone: 678-978-2584 | |
Anne Florence Bakinde, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2772 Cliffview Dr Sw, Lilburn, GA 30047 Phone: 770-870-7051 | |
Ms. Esther Djangmaakwor Narhmartey-darku, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 Emily Dr Sw, Lilburn, GA 30047 Phone: 404-513-1511 | |
Omoyeme Aliceson Ehizuelen, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 680 Hillcrest Rd Nw Ste 400, Lilburn, GA 30047 Phone: 404-566-8045 Fax: 404-999-6787 | |
Sana Ali, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4120 Five Forks Trickum Rd Sw, Lilburn, GA 30047 Phone: 770-255-3491 | |
Karen L Jimenez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 Indian Trail Lilburn Rd Nw Ste 5d, Lilburn, GA 30047 Phone: 470-545-2131 |