| Dr Muta M Issa, MD, MBA | |
|
1670 Clairmont Rd, Avamc / Urology (112), Decatur, GA 30033-4004 | |
| (404) 728-4129 | |
| (404) 329-2201 |
| Full Name | Dr Muta M Issa |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1670 Clairmont Rd, Decatur, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669406757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 42619 (Georgia) | Secondary |
| 208800000X | Urology | 042619 (Georgia) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Muta M Issa, MD, MBA 1670 Clairmonth Road, Ne, Avamc / Urology (112), Decatur, GA 30033 Ph: (404) 728-4129 | Dr Muta M Issa, MD, MBA 1670 Clairmont Rd, Avamc / Urology (112), Decatur, GA 30033-4004 Ph: (404) 728-4129 |
Dr. Michael Kemper, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2685 Milscott Dr, Decatur, GA 30033 Phone: 404-292-3727 | |
Dr. Lambda P Msezane, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2685 Milscott Dr, Decatur, GA 30033 Phone: 404-292-3727 Fax: 404-294-9674 | |
Dr. Karl L Pete, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2711 Irvin Way Ste 102, Decatur, GA 30030 Phone: 678-344-8900 Fax: 678-619-5240 | |
Christine Callaway, MD Urology Medicare: Medicare Enrolled Practice Location: 2685 Milscott Dr, Decatur, GA 30033 Phone: 404-292-3727 Fax: 404-294-9674 | |
Ms. Lois Elayne Miller, RN Urology Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-728-4125 | |
Daniel J. Canter, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2685 Milscott Dr, Decatur, GA 30033 Phone: 404-292-3727 |