| Ian C Balfour, MD | |
|
738 Old Norcross Rd, Lawrenceville, GA 30046-4462 | |
| (404) 256-2593 | |
| Not Available |
| Full Name | Ian C Balfour |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 738 Old Norcross Rd, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649375874 | NPI | - | NPPES |
| 201961901 | Medicaid | MO | |
| 700216987A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | R4D25 (Missouri) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | R4D25 (Missouri) | Primary |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian C Balfour, MD 2835 Brandywine Rd Ste 300, Atlanta, GA 30341-5540 Ph: (404) 256-2593 | Ian C Balfour, MD 738 Old Norcross Rd, Lawrenceville, GA 30046-4462 Ph: (404) 256-2593 |
Howard Ross Ellis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 665 Duluth Hwy Ste 920, Lawrenceville, GA 30046 Phone: 678-312-5250 | |
Anuradha N Sheth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 755 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-277-6725 Fax: 770-277-9169 | |
Dr. Venkateswara Rao Dikkala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2775 Cruse Rd, Suite 1801, Lawrenceville, GA 30044 Phone: 678-380-9199 Fax: 908-634-2861 | |
Navneet Kaur Brar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3356 | |
Dr. Claire Dudley Wilkiemeyer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 945 River Centre Pl, Suite 200, Lawrenceville, GA 30043 Phone: 678-646-0404 | |
Dr. Anna Jung, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018 | |
Scott Darby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018 |