| Julie Miller Quattlebaum, MD | |
| 
					4321 University Pkwy, Evans, GA 30809-3058  | |
| (706) 790-4440 | |
| (706) 737-3321 | 
| Full Name | Julie Miller Quattlebaum | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 4321 University Pkwy, Evans, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770596181 | NPI | - | NPPES | 
| 752529620A | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 56278 (Georgia) | Secondary | 
| 208000000X | Pediatrics | 24025 (South Carolina) | Primary | 
| Entity Name | Acs Primary Care Physicians - Southeast Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766  | 
| Entity Name | Au Medical Associates Emergency Medicine Billing Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Julie Miller Quattlebaum, MD 215 Town Creek Rd, Aiken, SC 29803-5843 Ph: () -  | Julie Miller Quattlebaum, MD 4321 University Pkwy, Evans, GA 30809-3058 Ph: (706) 790-4440  | 
Steven R. Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 411 Town Park Blvd, Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559  | |
Dr. Karen Foushee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 411 Town Park Blvd., Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559  | |
Natalie Wynn Deal, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4321 University Pkwy Ste 104, Evans, GA 30809 Phone: 706-854-2600  | |
Melissa Criscillis, CPNP-AC Pediatrics Medicare: Medicare Enrolled Practice Location: 411 Town Park Blvd, Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559  | |
Anna Katherine Rees,  Pediatrics Medicare: Medicare Enrolled Practice Location: 411 Town Park Blvd, Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559  | |
Yolanda Roberta Safford Jones, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 411 Town Park Blvd, Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559  | |
Dr. Margaret Mcgee Renew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4321 University Pkwy, Suite 104, Evans, GA 30809 Phone: 706-854-2600 Fax: 706-854-2601  |