| Dr Charles V Clopton, Jr, MD | |
|
195 Fairview Rd, Ellenwood, GA 30294-2722 | |
| (770) 507-0112 | |
| Not Available |
| Full Name | Dr Charles V Clopton, Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 195 Fairview Rd, Ellenwood, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770514440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 043019 (Georgia) | Primary |
| Entity Name | C. V. Clopton, Jr, Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699879965 PECOS PAC ID: 4981691516 Enrollment ID: O20040427000719 |
| Entity Name | Anemonefish Inpatient Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033514716 PECOS PAC ID: 7012236664 Enrollment ID: O20150501001344 |
| Entity Name | Medical Office Force |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508378613 PECOS PAC ID: 9335481951 Enrollment ID: O20190501001903 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles V Clopton, Jr, MD 2611 N Clark Dr, East Point, GA 30344-2342 Ph: (404) 766-7518 | Dr Charles V Clopton, Jr, MD 195 Fairview Rd, Ellenwood, GA 30294-2722 Ph: (770) 507-0112 |
Lishan Bekele, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-4554 Fax: 770-507-6413 | |
Dr. Melody Lawanda Bray-ross, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3559 Spring Shls, Ellenwood, GA 30294 Phone: 404-241-6032 | |
Dr. Suhas Joe Samuel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2720 Quiktrip Way, Ellenwood, GA 30294 Phone: 470-582-5698 | |
Reem M Sidani, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750 | |
Claudea Antonette Lewis-comrie, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750 | |
Dr. Mitzi Clayton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-4554 Fax: 770-507-6413 | |
Dr. April Marie F. Madu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 E Clayton Dr, Ellenwood, GA 30294 Phone: 800-993-8244 Fax: 855-684-6065 |