| Mark Alan Branch, DO | |
|
412 E 4th Ave, Cordele, GA 31015 | |
| (229) 273-1243 | |
| (229) 273-1247 |
| Full Name | Mark Alan Branch |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 412 E 4th Ave, Cordele, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689664674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 81934 (Georgia) | Primary |
| Entity Name | University Of Tennessee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780686436 PECOS PAC ID: 3072421213 Enrollment ID: O20031119000671 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Alan Branch, DO 412 E 4th Ave, Cordele, GA 31015 Ph: (229) 273-1243 | Mark Alan Branch, DO 412 E 4th Ave, Cordele, GA 31015 Ph: (229) 273-1243 |
Monae Marie Cost, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 412 E 4th Avenue, Cordele, GA 31015 Phone: 229-276-3038 | |
Dr. Samantha Dahlia Manderson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 412 E 4th Ave, Cordele, GA 31015 Phone: 229-273-1243 Fax: 229-273-1247 | |
Dr. Barry Iguobadia, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 412 E 4th Ave, Cordele, GA 31015 Phone: 229-276-3038 Fax: 229-276-3631 | |
Sule A Salami, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 116 E 4th Ave, Cordele, GA 31015 Phone: 229-273-3883 Fax: 229-273-3893 |