Dr Romana Y Bairan, MD | |
760 26th Ave Se, Moultrie, GA 31768-6799 | |
(229) 985-1457 | |
(229) 890-9430 |
Full Name | Dr Romana Y Bairan |
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Gender | Female |
Speciality | Pediatrics |
Location | 760 26th Ave Se, Moultrie, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346202835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 48971 (Georgia) | Primary |
Entity Name | Careconnect Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286 |
Entity Name | Southwest Georgia Healthcare Clinics, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881867000 PECOS PAC ID: 9739457896 Enrollment ID: O20170613002024 |
Mailing Address | Practice Location Address |
---|---|
Dr Romana Y Bairan, MD 760 26th Ave Se, Moultrie, GA 31768-6799 Ph: (229) 985-1457 | Dr Romana Y Bairan, MD 760 26th Ave Se, Moultrie, GA 31768-6799 Ph: (229) 985-1457 |
Dr. Debra S Selby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Sweet Bay Ct Ste A, Moultrie, GA 31768 Phone: 229-985-1457 | |
Dr. Holly M Van De Voort, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Hospital Park, Moultrie, GA 31768 Phone: 229-985-3320 | |
Dr. Buford Otto Edwards Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 760 26th Ave Se, Moultrie, GA 31768 Phone: 229-985-1457 Fax: 229-890-9430 | |
Dr. Daphne Bernadette Mlachila, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Hospital Park, Moultrie, GA 31768 Phone: 229-985-3320 | |
Dr. Patricia Lee June, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1317 S Main St, Moultrie, GA 31768 Phone: 229-985-7177 Fax: 229-890-5373 | |
Anthony Adebayo Adetomiwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-891-9131 |