Dr Beatrice Clodomir, DO | |
5582 Memorial Dr, Stone Mountain, GA 30083-3215 | |
(404) 298-8998 | |
(404) 298-7658 |
Full Name | Dr Beatrice Clodomir |
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Gender | Female |
Speciality | Pediatrics |
Location | 5582 Memorial Dr, Stone Mountain, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760640924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 65531 (Georgia) | Primary |
Entity Name | Medcura Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417011487 PECOS PAC ID: 2961443643 Enrollment ID: O20120509000245 |
Mailing Address | Practice Location Address |
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Dr Beatrice Clodomir, DO 5582 Memorial Dr, Stone Mountain, GA 30083-3215 Ph: (404) 298-8998 | Dr Beatrice Clodomir, DO 5582 Memorial Dr, Stone Mountain, GA 30083-3215 Ph: (404) 298-8998 |
Dr. Edward Marvin Gotlieb, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr, Building D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753 | |
Stanley M Tenenbaum, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1805 Parke Plaza Cir, Ste 103, Stone Mountain, GA 30087 Phone: 770-498-9355 Fax: 770-498-6294 | |
Sydney Infante, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 | |
Dr. Julia Mcmichael, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1551 Juliette Dr, Stone Mountain, GA 30083 Phone: 678-639-2755 | |
Raymond Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1805 Parke Plaza Cir, Ste 103, Stone Mountain, GA 30087 Phone: 770-498-9355 Fax: 770-498-6294 | |
Winton King, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4850 Redan Rd, Stone Mountain, GA 30088 Phone: 404-297-1818 Fax: 404-297-1629 | |
Dr. Jaquelin Smith Gotlieb, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr, Building D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753 |