| Irene Murema, MD | |
|
105 W Cranford Ave, Valdosta, GA 31602-2930 | |
| (229) 247-7350 | |
| (229) 242-1730 |
| Full Name | Irene Murema |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 105 W Cranford Ave, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063839983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 78632 (Georgia) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Murema, MD 105 W Cranford Ave, Valdosta, GA 31602-2930 Ph: (229) 247-7350 | Irene Murema, MD 105 W Cranford Ave, Valdosta, GA 31602-2930 Ph: (229) 247-7350 |
Thomas L Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-242-1730 | |
Kimberly W Megow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3526 Northcrossing Cir, Valdosta, GA 31602 Phone: 229-241-9500 Fax: 229-241-1047 | |
Cristina Marie Lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-468-0042 | |
Corne Maydell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Kamela Manantan Camon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Northside Dr Ste M, Valdosta, GA 31602 Phone: 229-241-0059 | |
Robert J Criscuola, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3331 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2211 Fax: 229-247-9313 |