| Dr Lori Katrina Duckett, MD | |
|
1111 Bullsboro Dr, Newnan, GA 30265-2182 | |
| (770) 683-3739 | |
| Not Available |
| Full Name | Dr Lori Katrina Duckett |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1111 Bullsboro Dr, Newnan, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083934608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 068951 (Georgia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 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 | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
| Entity Name | The Bortolazzo Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Entity Name | Weight A Minute Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487369187 PECOS PAC ID: 4183060627 Enrollment ID: O20240307000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lori Katrina Duckett, MD 949 Oriole Dr Sw, Atlanta, GA 30311-2422 Ph: (404) 752-1339 | Dr Lori Katrina Duckett, MD 1111 Bullsboro Dr, Newnan, GA 30265-2182 Ph: (770) 683-3739 |
Fred A Tega, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Baynard Park, Newnan, GA 30265 Phone: 770-251-5253 Fax: 770-251-5254 | |
Dr. Regina P Justice, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2462 Highway 34 East, Suite A, Newnan, GA 30265 Phone: 770-683-5437 Fax: 770-683-3758 | |
Shannon Leigh Boles, PNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 931 Lower Fayetteville Rd Ste J, Newnan, GA 30263 Phone: 770-253-0170 | |
J. Boyce Thomas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 189 Jefferson Pkwy, Newnan, GA 30263 Phone: 770-304-2220 Fax: 770-304-2622 | |
Asia Crittenden, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Highway 34 E Ste 100, Newnan, GA 30265 Phone: 470-394-0004 | |
Zoe Elizabeth Mckinney, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Highway 34 E Ste 100, Newnan, GA 30265 Phone: 470-394-0004 |