Gabriela Pena, MD | |
643 Main St, Palmetto, GA 30268-1138 | |
(404) 929-8824 | |
Not Available |
Full Name | Gabriela Pena |
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Gender | Female |
Speciality | Family Medicine |
Location | 643 Main St, Palmetto, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528322922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 72408 (Georgia) | Primary |
Entity Name | Palmetto Health Council Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184884678 PECOS PAC ID: 3476586629 Enrollment ID: O20250404002525 |
Mailing Address | Practice Location Address |
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Gabriela Pena, MD 643 Main St, Palmetto, GA 30268-1138 Ph: () - | Gabriela Pena, MD 643 Main St, Palmetto, GA 30268-1138 Ph: (404) 929-8824 |
Joanne E. Williams, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 404-929-8824 | |
Dr. Milanieva Latorre, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 404-929-8824 Fax: 404-929-9769 | |
Matthew Charles Revilla, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 507 Park St, Palmetto, GA 30268 Phone: 770-463-4644 | |
Tom John Albunian Mayuga, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 507 Park St, Palmetto, GA 30268 Phone: 770-463-4644 |