| Juan L Rodriguez-ramos, MD | |
|
1620 Mulkey Rd Ste 100, Austell, GA 30106-1171 | |
| (770) 948-3774 | |
| (770) 739-9609 |
| Full Name | Juan L Rodriguez-ramos |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 1620 Mulkey Rd Ste 100, Austell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891801528 | NPI | - | NPPES |
| 173029301 | Medicaid | TX | |
| 173029302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | M1323 (Texas) | Secondary |
| 207K00000X | Allergy & Immunology | 95169 (Georgia) | Primary |
| Entity Name | Atlanta Allergy & Asthma Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598796195 PECOS PAC ID: 1254372006 Enrollment ID: O20050523000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan L Rodriguez-ramos, MD Po Box 26726, Austin, TX 78755-0726 Ph: (512) 407-8686 | Juan L Rodriguez-ramos, MD 1620 Mulkey Rd Ste 100, Austell, GA 30106-1171 Ph: (770) 948-3774 |
John Michael Halwig, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1620 Mulkey Rd, Ste 100, Austell, GA 30106 Phone: 770-953-3331 Fax: 770-739-9609 | |
Maricelis H Armstrong, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1620 Mulkey Rd, Ste 100, Austell, GA 30106 Phone: 770-948-3774 Fax: 770-739-9609 |