| Carol A Lyle, MD | |
|
240 Corporate Center Dr, Suite 200, Stockbridge, GA 30281-7214 | |
| (678) 284-9171 | |
| (770) 506-7436 |
| Full Name | Carol A Lyle |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 240 Corporate Center Dr, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568573871 | NPI | - | NPPES |
| 00532012B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 024707 (Georgia) | Primary |
| Entity Name | Mcintosh Trail Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336317270 PECOS PAC ID: 6204818669 Enrollment ID: O20040601001239 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A Lyle, MD 240 Corporate Center Dr, Suite 200, Stockbridge, GA 30281-7214 Ph: (678) 284-9171 | Carol A Lyle, MD 240 Corporate Center Dr, Suite 200, Stockbridge, GA 30281-7214 Ph: (678) 284-9171 |
Karen Irwin-copeland, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 418 Carrington Rdg, Stockbridge, GA 30281 Phone: 678-988-6835 | |
Simonne Dupre, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 240 Corporate Center Dr, Suite D, Stockbridge, GA 30281 Phone: 770-389-8855 Fax: 770-506-7436 | |
Dr. Vandana Anand, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 155 Eagles Walk, Suite F, Stockbridge, GA 30281 Phone: 770-389-8100 Fax: 770-389-3030 | |
Minna Choi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 518 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-507-7359 | |
Ogonna Adaobi Iwuora, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 135 N Park Pl Ste 200, Stockbridge, GA 30281 Phone: 678-289-7960 Fax: 678-289-7961 | |
Mr. Darshan Ashokkumar Patel, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1000 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-402-6849 | |
Aly Abbas Ahmed, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 245 Country Club Dr, Suite 300b, Stockbridge, GA 30281 Phone: 678-284-1008 Fax: 678-284-1009 |