| Carlo C Lee, MD | |
|
1570 Watson Blvd, Suite 100, Warner Robins, GA 31093-3432 | |
| (478) 923-6462 | |
| (478) 923-6215 |
| Full Name | Carlo C Lee |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1570 Watson Blvd, Warner Robins, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083619779 | NPI | - | NPPES |
| 000725029J | Medicaid | GA | |
| 000725029E | Medicaid | GA | |
| 000725029I | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 041455 (Georgia) | Primary |
| Entity Name | Southside Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
| Entity Name | Hospital Authority Of Wayne County Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366506222 PECOS PAC ID: 5698663854 Enrollment ID: O20040309000521 |
| Entity Name | Southern Ob Gyn Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801951454 PECOS PAC ID: 8729059043 Enrollment ID: O20040802000950 |
| Entity Name | Obhg Georgia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750686838 PECOS PAC ID: 9032383583 Enrollment ID: O20111117000602 |
| Entity Name | Sgmc Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlo C Lee, MD Po Box 2426, Warner Robins, GA 31099-2426 Ph: (478) 923-6462 | Carlo C Lee, MD 1570 Watson Blvd, Suite 100, Warner Robins, GA 31093-3432 Ph: (478) 923-6462 |
Manoj H. Shah, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1021 N Houston Rd, Warner Robins, GA 31093 Phone: 478-922-9944 Fax: 478-922-3255 | |
Ashley Michelle Williams-hernandez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 Byrd Way, Warner Robins, GA 31088 Phone: 478-922-9136 Fax: 478-923-6846 | |
Grandhige V. Raghu, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1021 N Houston Rd, Warner Robins, GA 31093 Phone: 478-922-9944 Fax: 478-922-3255 | |
Alison Hall Wright, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 Byrd Way, Warner Robins, GA 31088 Phone: 478-922-9136 Fax: 478-923-6846 | |
Dr. Susan Ann Thomas, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1025 N Houston Rd, Warner Robins, GA 31093 Phone: 478-922-9136 Fax: 478-923-6846 | |
Dr. David Quang, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 Byrd Way, Warner Robins, GA 31088 Phone: 478-922-9136 Fax: 478-923-6846 |