| Dr Kira Elizabeth Olugebefola, MD | |
|
1510 Hudson Bridge Rd, Stockbridge, GA 30281-5020 | |
| (404) 785-8660 | |
| Not Available |
| Full Name | Dr Kira Elizabeth Olugebefola |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1510 Hudson Bridge Rd, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982612297 | NPI | - | NPPES |
| 03240631 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 257314 (New York) | Secondary |
| 208000000X | Pediatrics | 92145 (Georgia) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kira Elizabeth Olugebefola, MD 1510 Hudson Bridge Rd, Stockbridge, GA 30281-5020 Ph: (404) 785-8660 | Dr Kira Elizabeth Olugebefola, MD 1510 Hudson Bridge Rd, Stockbridge, GA 30281-5020 Ph: (404) 785-8660 |
Juan A Lama, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Blvd, Suite B, Stockbridge, GA 30281 Phone: 770-389-9944 Fax: 770-389-1973 | |
Ronald Allen Ligon Jr., M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281 Phone: 404-256-2593 | |
Dr. Steven W Leard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281 Phone: 678-289-0103 Fax: 678-289-0171 | |
Dr. Matthew Edward Oster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281 Phone: 404-256-2593 | |
Ashley Shim, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1510 Hudson Bridge Rd, Stockbridge, GA 30281 Phone: 404-785-8660 | |
Lankala Rajendra Reddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Blvd, Ste B, Stockbridge, GA 30281 Phone: 770-389-9944 Fax: 770-389-1973 | |
Dr. Patrick Neal Pulliam, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Country Club Dr Bldg 200a, Stockbridge, GA 30281 Phone: 770-389-4543 Fax: 770-474-0566 |