| Caryn J Masterman-smith, DO | |
|
125 Church St, Vidalia, GA 30474-4770 | |
| (912) 538-8484 | |
| (912) 538-8665 |
| Full Name | Caryn J Masterman-smith |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 125 Church St, Vidalia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598767857 | NPI | - | NPPES |
| 880935875A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS8651 (Florida) | Secondary |
| 208000000X | Pediatrics | 63712 (Georgia) | Primary |
| Entity Name | Meadows Multispecialty Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952990533 PECOS PAC ID: 6002223484 Enrollment ID: O20210407000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Caryn J Masterman-smith, DO Po Box 407, Vidalia, GA 30475-0407 Ph: (912) 537-4986 | Caryn J Masterman-smith, DO 125 Church St, Vidalia, GA 30474-4770 Ph: (912) 538-8484 |
Dr. Erin Breeann Lindholm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Etta Wilcia Boss Cole, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 Fax: 123-738-0969 | |
Lauren Courtney Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Dr. Katrina Mcclane Leshanski, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Timothy Caron Horton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1702 Meadows Ln Ste A, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Callie Wilkes, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 |