| Dr Rami Azzouz, MD | |
|
2918 E Walnut Ave, Dalton, GA 30721-8724 | |
| (706) 529-4600 | |
| (706) 529-4633 |
| Full Name | Dr Rami Azzouz |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2918 E Walnut Ave, Dalton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538114657 | NPI | - | NPPES |
| 50126 | Other | GA | LICENSE |
| 37492 | Other | TN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 50126 (Georgia) | Primary |
| Entity Name | Bright Pediatrics, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912224577 PECOS PAC ID: 5991023186 Enrollment ID: O20150420001696 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rami Azzouz, MD 2918 E Walnut Ave, Dalton, GA 30721-8724 Ph: (706) 529-4600 | Dr Rami Azzouz, MD 2918 E Walnut Ave, Dalton, GA 30721-8724 Ph: (706) 529-4600 |
Susan Hartley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229 | |
Cedric Bernard Windom Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2918 E Walnut Ave, Dalton, GA 30721 Phone: 706-529-4600 Fax: 706-529-4633 | |
Mr. Ricardo Raul Riesco, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1933 Shields Road, Dalton, GA 30720 Phone: 706-278-6628 Fax: 706-278-6650 | |
Mr. Ayodeji C Makinde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 Chattanooga Ave, Ste 1, Dalton, GA 30721 Phone: 706-876-2130 Fax: 706-876-2168 | |
Dr. Dahlia Cindy Moscardini, M.B.B.S., M.P.H. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 561-741-0002 | |
Ayman M. Rifai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229 | |
Dr. Rose C Augustine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229 |