| Dr Angie Harshaw Harris, MD | |
|
2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236-2500 | |
| (770) 603-3668 | |
| Not Available |
| Full Name | Dr Angie Harshaw Harris |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 2400 Mount Zion Pkwy, Jonesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316000318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 51038 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 051038 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angie Harshaw Harris, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070 | Dr Angie Harshaw Harris, MD 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236-2500 Ph: (770) 603-3668 |
Lynn Kevin Flowers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3668 Fax: 912-691-1953 | |
Joseph Paul Brissette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 770-994-4747 | |
Dr. Stanley Llewellyn Allen Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mt. Zion Parkway Kaiser Permanente, Southwood Comprehensive Medical Center, Jonesboro, GA 30236 Phone: 770-365-0966 | |
Uchenna E Aguwa, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3668 Fax: 740-374-1693 | |
Shakira N. Thomas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 205-616-5289 | |
Dr. Michele Renee Hayek, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente, Jonesboro, GA 30236 Phone: 770-603-3649 |