| Enoe J Jimenez Cordero, | |
|
1120 15th St # Bi-2144, Augusta, GA 30912-0004 | |
| (706) 721-3871 | |
| Not Available |
| Full Name | Enoe J Jimenez Cordero |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology - Pediatric Anesthesiology |
| Location | 1120 15th St # Bi-2144, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942825450 | NPI | - | NPPES |
| Entity Name | University of Arkansas for Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | Arkansas Childrens Professional Services Organization LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629889464 PECOS PAC ID: 4688183148 Enrollment ID: O20250604004418 |
| Mailing Address | Practice Location Address |
|---|---|
| Enoe J Jimenez Cordero, 1120 15th St # Bi-2144, Augusta, GA 30912-0004 Ph: (706) 721-7753 | Enoe J Jimenez Cordero, 1120 15th St # Bi-2144, Augusta, GA 30912-0004 Ph: (706) 721-3871 |
Rosa Maria Lopez Rincon, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-446-5836 |
Yulia Kungurova, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St # Bi-2183, Augusta, GA 30912 Phone: 706-721-0180 |
Richard E. Lynch, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 804 Scott Nixon Memorial Dr, Attn: Provider Enrollment, Augusta, GA 30907 Phone: 800-394-4445 Fax: 706-955-0735 |
Dr. Edward Kurt Leahy, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 |
Dr. Marshall D. Bedder, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3813 |
Dr. John William Whiteley, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 |
Sami Mohammad Hafsa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3871 |