| Eugene H Koziara Jr, MD | |
|
750 Townpark Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144 | |
| (770) 514-5403 | |
| (770) 514-5493 |
| Full Name | Eugene H Koziara Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 750 Townpark Lane, Kennesaw, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740390632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 052195 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene H Koziara Jr, MD 3495 Piedmont Road Ne, Nine Piedmont Center, Atlanta, GA 30305-1736 Ph: (404) 364-7000 | Eugene H Koziara Jr, MD 750 Townpark Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144 Ph: (770) 514-5403 |
Esther M. Motlhatlhedi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Town Park Lane, Paiser Permanente Town Park Medical Office-dept Of Ambu, Kennesaw, GA 30144 Phone: 908-337-3212 | |
Dr. Maria A Schiaffino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Town Park Lane, Kennesaw, GA 30144 Phone: 770-514-5504 | |
Gisele Wogbo, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 Townpark Ln Nw, Kennesaw, GA 30144 Phone: 404-365-0966 | |
Dr. Sharmila Ramprasad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3104 Creekside Village Dr Nw, Suite 201, Kennesaw, GA 30144 Phone: 770-627-3986 Fax: 770-872-0517 | |
Dr. Nikia Lynette Garland, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 Phone: 770-514-5401 | |
Dr. Mildred Joann Santorufo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1275 Shiloh Rd Nw Ste 2051, Kennesaw, GA 30144 Phone: 678-737-4863 Fax: 706-222-4016 | |
Nihinlolawa Oreoluwa Ijamakinwa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2481 George Busbee Pkwy Nw, Kennesaw, GA 30144 Phone: 770-423-0000 Fax: 770-423-0131 |