Diego Fernando Herrera, DO | |
81 Northside Dawson Dr Ste 100, Dawsonville, GA 30534-7164 | |
(855) 647-7678 | |
(404) 847-4232 |
Full Name | Diego Fernando Herrera |
---|---|
Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 81 Northside Dawson Dr Ste 100, Dawsonville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528623535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 89688 (Georgia) | Primary |
207Q00000X | Family Medicine | 89688 (Georgia) | Secondary |
Entity Name | Northside Surgical Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
Mailing Address | Practice Location Address |
---|---|
Diego Fernando Herrera, DO 81 Northside Dawson Dr Ste 100, Dawsonville, GA 30534-7164 Ph: (404) 847-4230 | Diego Fernando Herrera, DO 81 Northside Dawson Dr Ste 100, Dawsonville, GA 30534-7164 Ph: (855) 647-7678 |
Paul J Behrmann, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 108 Prominence Ct, Suite 200, Dawsonville, GA 30534 Phone: 706-216-3238 Fax: 706-216-5285 | |
John Tyler Andrews, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Prominence Ct Ste 100, Dawsonville, GA 30534 Phone: 770-219-9180 | |
Dr. William Joseph Keating, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1080 Lumpkin Campground Rd S, Suite 300, Dawsonville, GA 30534 Phone: 706-265-4100 Fax: 706-265-4132 | |
Johan Koo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Prominence Ct Ste 200, Dawsonville, GA 30534 Phone: 706-216-3238 Fax: 706-216-5285 | |
Priya Gulati Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 Dawson Village Way S, Dawsonville, GA 30534 Phone: 770-268-4360 Fax: 470-251-6066 | |
Dr. Gary C Berliner, MD,MPH Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2395 Thompson Rd, Dawsonville, GA 30534 Phone: 706-265-6866 Fax: 706-216-8448 | |
Ernst H. Nieuwoudt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Prominence Ct, Dawsonville, GA 30534 Phone: 706-216-3238 Fax: 706-216-5285 |