West Georgia Infectious Diseases | |
1700 Hospital South Dr Suite 402 Austell GA 30106 | |
(770) 739-8282 | |
(770) 739-0794 |
Full Name | West Georgia Infectious Diseases |
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Speciality | Internal Medicine |
Location | 1700 Hospital South Dr, Austell, Georgia |
Authorized Official Name and Position | Kathryn Marie Shiver (OFFICE MANAGER) |
Authorized Official Contact | 7707398282 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Georgia Infectious Diseases 1700 Hospital South Dr Suite 402 Austell GA 30106 Ph: (770) 739-8282 | West Georgia Infectious Diseases 1700 Hospital South Dr Suite 402 Austell GA 30106 Ph: (770) 739-8282 |
NPI Number | 1881768117 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 07/17/2014 |
Medicare PECOS PAC ID | 0244228559 |
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Medicare Enrollment ID | O20040505000334 |
Identifier | Type | State | Issuer |
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1881768117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Lisa Anne Oakley |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1700981099 PECOS PAC ID: 8729273792 Enrollment ID: I20101117000004 |
Provider Name | Joseph Anthony Havlik |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1144325432 PECOS PAC ID: 0547455511 Enrollment ID: I20101117000006 |
Provider Name | Mir Abid Husain |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1235234527 PECOS PAC ID: 1456546423 Enrollment ID: I20101117000010 |
Segen Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-939-3301 Fax: 770-939-3331 | |
Nissi Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 105, Austell, GA 30106 Phone: 678-540-7597 Fax: 770-645-9802 | |
Wellstar Internal Medicine Gaim Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Medical Park Dr, Suite 201, Austell, GA 30106 Phone: 770-941-8100 Fax: 770-948-0771 | |
Green Angel Healthcare Consulting, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4760 Austell Rd, Suite #3, Austell, GA 30106 Phone: 404-452-2519 Fax: 678-252-6427 | |
Delta Orthopedics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1790 Mulkey Rd Ste 1314, Austell, GA 30106 Phone: 770-284-3832 | |
Georgia Internal Medicine Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3875 Austell Rd, Suite 101, Austell, GA 30106 Phone: 770-941-8100 Fax: 770-948-0771 | |
South Cobb Ob Gyn 2llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Hospital South Dr, Austell, GA 30106 Phone: 404-943-0205 |