| Angela Feazel Mattke, MD | |
|
1412 Milstead Ave Ne, Conyers, GA 30012-3877 | |
| (770) 994-9326 | |
| (770) 994-4747 |
| Full Name | Angela Feazel Mattke |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 1412 Milstead Ave Ne, Conyers, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083672786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35.123208 (Ohio) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 057540 (Georgia) | Primary |
| Entity Name | Highland District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225053119 PECOS PAC ID: 0941191167 Enrollment ID: O20040324001232 |
| Entity Name | Emergency Medicine Physicians Of Champaign County Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285078220 PECOS PAC ID: 6204074529 Enrollment ID: O20130528000752 |
| Entity Name | Emergency Medicine Physicians Of Cincinnati Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922483213 PECOS PAC ID: 5294044137 Enrollment ID: O20151016000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Feazel Mattke, MD 1745 Phoenix Blvd, Suite 100, Atlanta, GA 30349-5591 Ph: (770) 994-9326 | Angela Feazel Mattke, MD 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 994-9326 |
Jorge E Rivera-kolb, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1008 Meadow Springs Dr Sw, Conyers, GA 30094 Phone: 770-648-6207 | |
John Tucker Irwin, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Stillmeadow Rd Sw, Conyers, GA 30094 Phone: 770-827-9526 | |
Dr. Ellica Moore Chu, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 Fax: 404-809-4284 | |
Dr. Keith Howell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Avenue, Conyers, GA 30012 Phone: 770-994-9326 Fax: 770-994-4747 | |
Sepedeh Nabavi, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-597-3081 | |
Dr. Sevara Bryant, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 |