Joseph E Carruth, MD | |
104 Fairview Park Dr, Dublin, GA 31021 | |
(478) 272-1366 | |
(478) 277-1922 |
Full Name | Joseph E Carruth |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 104 Fairview Park Dr, Dublin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972581452 | NPI | - | NPPES |
000193355G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 019653 (Georgia) | Primary |
Entity Name | Dim Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457605867 PECOS PAC ID: 9133372782 Enrollment ID: O20130109000490 |
Mailing Address | Practice Location Address |
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Joseph E Carruth, MD Po Box 407, Vidalia, GA 30475-0407 Ph: (478) 275-3166 | Joseph E Carruth, MD 104 Fairview Park Dr, Dublin, GA 31021 Ph: (478) 272-1366 |
Dr. Raman S.p Damineni, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 Fax: 478-274-5508 | |
Pride R Chapman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 104 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-277-1922 | |
Tirso A Castillo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-275-2322 | |
Andre Christopher Lewis, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd., Hospitalists At Fairview Park Llc, Dublin, GA 31021 Phone: 478-274-3925 Fax: 478-274-3663 | |
Matthew B Grundfast, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-277-1929 Fax: 478-304-1468 | |
Dr. Meenakshi Mohan Ram, M.D., Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 | |
Dr. Arun George, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 |