| Donna Edmond-king, MD | |
|
1712-c East Broad Avenue, Albany, GA 31705 | |
| (229) 639-3103 | |
| (229) 888-8935 |
| Full Name | Donna Edmond-king |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1712-c East Broad Avenue, Albany, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407950876 | NPI | - | NPPES |
| 4512970 | Other | GA | AETNA |
| 000777378A | Medicaid | GA | |
| 727446 | Other | GA | BCBS |
| 370010386 | Other | GA | RR MCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 044711 (Georgia) | Primary |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Edmond-king, MD 204 N Westover Blvd, Albany, GA 31707-2983 Ph: (229) 888-6559 | Donna Edmond-king, MD 1712-c East Broad Avenue, Albany, GA 31705 Ph: (229) 639-3103 |
Mr. Marcus Allen Stripling, Pediatrics Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Dr. Dennis Alan Twedt, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1909 Aberdeen Rd, Suite 106, Albany, GA 31701 Phone: 229-432-7444 Fax: 229-432-7445 | |
Randi Tatum, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Meredyth Dr, Albany, GA 31707 Phone: 229-883-7010 | |
Dr. Max Kuo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 810 13th Ave Ste 107, Albany, GA 31701 Phone: 229-883-4749 Fax: 229-883-3910 | |
Dr. Danice B Roberts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Palmyra Rd, Albany, GA 31701 Phone: 229-434-1400 Fax: 229-434-0040 | |
Diosita Watin Lariosa, M.D.,P.C. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 513 W 2nd Ave, Albany, GA 31701 Phone: 229-432-7444 Fax: 229-432-7445 | |
Dr. Tania Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Pointe North Blvd, Albany, GA 31721 Phone: 229-903-4044 Fax: 229-903-4055 |