| Martha H Crenshaw, MD | |
|
1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3498 | |
| (770) 469-7000 | |
| (770) 879-0436 |
| Full Name | Martha H Crenshaw |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1805 Parke Plaza Cir, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255325536 | NPI | - | NPPES |
| 00247024A1 | Medicaid | GA | |
| 0528626 | Other | GA | AETNA |
| 080027160 | Other | GA | RAILROAD MEDICARE |
| 151302 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 023580 (Georgia) | Primary |
| Entity Name | Qcpi-villagemd Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558872432 PECOS PAC ID: 8123389277 Enrollment ID: O20180306001224 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha H Crenshaw, MD 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3498 Ph: (770) 469-7000 | Martha H Crenshaw, MD 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3498 Ph: (770) 469-7000 |
Miss Flortasha Laray Pullom, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087 Phone: 470-444-3134 Fax: 470-276-4370 | |
Catherine Huggins Alexander, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087 Phone: 770-469-7000 Fax: 770-879-0436 | |
Mr. Michael Lesley Baron, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Lilburn Stone Mtn Rd, Ste 100, Stone Mountain, GA 30087 Phone: 770-469-1711 Fax: 770-469-1837 | |
Dr. Edward A Corkran, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5462 Memorial Dr, Suite 202, Stone Mountain, GA 30083 Phone: 404-292-5676 Fax: 404-299-8657 | |
Dr. Raquel Maria Watson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr Ste 121, Stone Mountain, GA 30083 Phone: 404-254-4500 Fax: 404-254-4517 | |
Dr. Brenda Dawne Telford, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 770 Village Square Dr, Stone Mountain, GA 30083 Phone: 404-298-8998 Fax: 404-298-7658 |