| Mike W Ou, MD | |
|
1125 E Highway 166, Bowdon, GA 30108-2401 | |
| (770) 258-5424 | |
| (770) 838-8980 |
| Full Name | Mike W Ou |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 1125 E Highway 166, Bowdon, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063442937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 053301 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Home Health Services | Carrollton, GA | Home health agency |
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Tanner Medical Center-east Alabama | Wedowee, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanner Medical Group Inc | 2769536143 | 111 |
| Tmc West Carroll Family Healthcare Center Inc | 5991616039 | 3 |
| Entity Name | Tmc West Carroll Family Healthcare Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982631321 PECOS PAC ID: 5991616039 Enrollment ID: O20040506000955 |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Mike W Ou, MD 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 836-9250 | Mike W Ou, MD 1125 E Highway 166, Bowdon, GA 30108-2401 Ph: (770) 258-5424 |
Robert Chris Salter, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 E Highway 166, Bowdon, GA 30108 Phone: 770-258-5424 Fax: 770-838-8980 | |
Justin D Lovvorn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 E Highway 166, Bowdon, GA 30108 Phone: 770-258-5424 |