| Dublin Internal Medicine | |
|
104 Fairview Park Dr Dublin GA 31021-2500 | |
| (478) 272-1366 | |
| (478) 272-2240 |
| Full Name | Dublin Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 104 Fairview Park Dr, Dublin, Georgia |
| Authorized Official Name and Position | Tony Marcus O'steen (CFO - SRPCC) |
| Authorized Official Contact | 9125385314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dublin Internal Medicine Po Box 407 Vidalia GA 30475-0407 Ph: (912) 537-4986 | Dublin Internal Medicine 104 Fairview Park Dr Dublin GA 31021-2500 Ph: (478) 272-1366 |
| NPI Number | 1457605867 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 04/15/2015 |
| Medicare PECOS PAC ID | 9133372782 |
|---|---|
| Medicare Enrollment ID | O20130109000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457605867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lee F Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780679365 PECOS PAC ID: 2163468620 Enrollment ID: I20050706000677 |
| Provider Name | Pride Robert Chapman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043298524 PECOS PAC ID: 4385787779 Enrollment ID: I20100208000289 |
| Provider Name | Vasavi Kavuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477531861 PECOS PAC ID: 5193868586 Enrollment ID: I20100208000306 |
| Provider Name | Joseph E Carruth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972581452 PECOS PAC ID: 4789727173 Enrollment ID: I20100208000346 |
| Provider Name | Dana Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992107411 PECOS PAC ID: 1456572239 Enrollment ID: I20141020001592 |
| Provider Name | Elise Rotramel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124496740 PECOS PAC ID: 4284944562 Enrollment ID: I20151117002663 |
| Provider Name | Crystal A Ciszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124486089 PECOS PAC ID: 3375838832 Enrollment ID: I20160823000856 |
Dublin Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-277-1922 | |
Mann Medical Complex Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108b Corporate Square, Dublin, GA 31021 Phone: 478-274-9259 | |
First Choice Family Chiropractic Center Of Dublin Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 911 N Jefferson St, Dublin, GA 31021 Phone: 478-272-1800 Fax: 478-274-1883 | |
1st Genesis Treatment Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Hillcrest Pkwy Ste 100, Dublin, GA 31021 Phone: 478-272-5020 Fax: 478-272-5024 | |
Hospitalist At Fairview Park, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Industrial Blvd, Dublin, GA 31021 Phone: 478-274-3747 Fax: 478-274-3663 | |
Kavuri & Collier Internal Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 227 Industrial Blvd, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-275-2322 | |
Middle Georgia Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd, Suite 19-b Erin Office Park, Dublin, GA 31021 Phone: 478-272-2599 Fax: 478-272-6441 |