| Dr Walter Lee Beard Jr, MD | |
|
2124 Candler Rd, Decatur, GA 30032-5572 | |
| (404) 836-0272 | |
| (251) 435-6357 |
| Full Name | Dr Walter Lee Beard Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 2124 Candler 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 |
|---|---|---|---|
| 1396032983 | NPI | - | NPPES |
| 81780 | Other | GA | MEDICAL LICENSE |
| ME132982 | Other | FL | MEDICAL LICENSE |
| 021429400 | Medicaid | FL | |
| MD.36054 | Other | AL | MEDICAL LICENSE |
| T-2403 | Other | MS | MS TEMPORARY MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 81780 (Georgia) | Primary |
| Entity Name | Fort Payne Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396764395 PECOS PAC ID: 5698779304 Enrollment ID: O20060912000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter Lee Beard Jr, MD 2124 Candler Rd, Decatur, GA 30032-5572 Ph: (404) 836-0272 | Dr Walter Lee Beard Jr, MD 2124 Candler Rd, Decatur, GA 30032-5572 Ph: (404) 836-0272 |
Mr. Ghulam Ghous, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2712 Lawrenceville Hwy, Decatur, GA 30033 Phone: 770-496-5555 | |
Dr. Ned Wilson Holland, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Vamc - 11b, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-4703 | |
Cedrella Carol Jones-taylor, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Primary Care, Decatur, GA 30033 Phone: 404-321-6111 | |
Dr. Gary Robert Botstein, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2712 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-0187 Fax: 404-292-2766 | |
Priti Rajnikant Patel, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Road, Primary Care, Decatur, GA 30033 Phone: 404-321-6111 | |
John Oliga, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4153b Flat Shoals Pkwy, Ste 200, Decatur, GA 30034 Phone: 404-585-5049 Fax: 404-591-0292 | |
Dr. Pojnicha Mekaroonkamol, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2124 Candler Road, Jencare Neighborhood Medical Center South Dekalb, Llc, Decatur, GA 30032 Phone: 404-836-0272 Fax: 404-836-0289 |