| Mrs Jelunder A Woodard Clark, MD | |
|
1331 Mount Zion Rd, Morrow, GA 30260-2357 | |
| (770) 629-3217 | |
| (404) 666-0085 |
| Full Name | Mrs Jelunder A Woodard Clark |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1331 Mount Zion Rd, Morrow, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508881368 | NPI | - | NPPES |
| 000949627A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042544 (Georgia) | Primary |
| Entity Name | United Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922579192 PECOS PAC ID: 7113267956 Enrollment ID: O20190314000835 |
| Entity Name | Pmr Georgia Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609329630 PECOS PAC ID: 8426466590 Enrollment ID: O20210409002172 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jelunder A Woodard Clark, MD 1331 Mount Zion Rd, Morrow, GA 30260-2357 Ph: (770) 629-3217 | Mrs Jelunder A Woodard Clark, MD 1331 Mount Zion Rd, Morrow, GA 30260-2357 Ph: (770) 629-3217 |
Rana Botlani Esfahani, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Corporate Center Dr, Ste 200, Morrow, GA 30260 Phone: 770-968-6464 | |
Alvin H Webster, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6522 Peacock Blvd, Morrow, GA 30260 Phone: 678-778-4591 Fax: 770-961-0056 | |
Dr. Evelyn Campbell-bayaan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1331 Mount Zion Rd, Morrow, GA 30260 Phone: 770-629-3217 | |
Rhonda R. Freeman, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 2005 Mount Zion Rd, Morrow, GA 30260 Phone: 770-919-5250 | |
Dr. George W Brown Iv, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Center Dr, Ste 200, Morrow, GA 30260 Phone: 770-968-6464 Fax: 770-968-6455 | |
Dr. Mark Mcelhannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Center Dr, Suite 200, Morrow, GA 30260 Phone: 770-968-6464 Fax: 770-968-6455 | |
Gabriella Eliese Maris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Center Dr, Suite 200, Morrow, GA 30260 Phone: 770-968-6464 Fax: 770-968-6455 |