| Dr Robert Favrot Vickers, MD | |
|
3925 Peachtree Rd Ne Ste 300, Brookhaven, GA 30319-5257 | |
| (770) 400-7700 | |
| (770) 254-6109 |
| Full Name | Dr Robert Favrot Vickers |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3925 Peachtree Rd Ne Ste 300, Brookhaven, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891372199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46806 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | 101650 (Georgia) | Primary |
| Entity Name | Piedmont Medical Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Favrot Vickers, MD 3925 Peachtree Rd Ne Ste 300, Brookhaven, GA 30319-5257 Ph: (770) 400-7700 | Dr Robert Favrot Vickers, MD 3925 Peachtree Rd Ne Ste 300, Brookhaven, GA 30319-5257 Ph: (770) 400-7700 |
Keerthi Yarlagadda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4062 Peachtree Rd Ne Ste C, Brookhaven, GA 30319 Phone: 404-365-6500 Fax: 404-365-6501 | |
Mrs. Mary Margaret Burch, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 Dresden Dr Ne Ste 200, Brookhaven, GA 30319 Phone: 404-814-9808 | |
Vindhya Rao, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 705 Town Boulevard, Suite 590, Brookhaven, GA 30319 Phone: 404-251-1940 | |
Dr. Jeffrey M. Reznik, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4062 Peachtree Rd Ne Ste C, Brookhaven, GA 30319 Phone: 404-365-6500 Fax: 404-365-6501 | |
Ms. Casey Jane Henritz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Town Blvd Ne, Suite 590, Brookhaven, GA 30319 Phone: 404-855-2236 Fax: 404-793-6517 | |
Young Il Chung, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3925 Peachtree Rd Ne Ste 300, Brookhaven, GA 30319 Phone: 404-231-4231 |