Ms Lauren I Henderson, MD | |
2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | |
(404) 365-0966 | |
(404) 431-4330 |
Full Name | Ms Lauren I Henderson |
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Gender | Female |
Speciality | Dermatology |
Location | 2525 Cumberland Pkwy Se, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669817011 | NPI | - | NPPES |
000969672 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A148084 (California) | Secondary |
207N00000X | Dermatology | 86208 (Georgia) | Primary |
Entity Name | Atlanta West Deramtology, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174680979 PECOS PAC ID: 9638135692 Enrollment ID: O20041202000177 |
Mailing Address | Practice Location Address |
---|---|
Ms Lauren I Henderson, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 | Ms Lauren I Henderson, MD 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 Ph: (404) 365-0966 |
Dr. Alvin R Solomon, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1365 Clifton Rd Ne, Department Of Dermatology, Atlanta, GA 30322 Phone: 404-727-3669 Fax: 404-727-5878 | |
Howa Yeung, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-3333 | |
Dr. Diamondis John Papadopoulos, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 875 Johnson Ferry Rd Ne, Ste 300, Atlanta, GA 30342 Phone: 404-257-9933 Fax: 404-257-9931 | |
Dr. Adar Berghoff, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 875 Johnson Ferry Rd, Suite 300, Atlanta, GA 30342 Phone: 404-257-9933 Fax: 404-257-9931 | |
Dr. Shenara Austin Sexton, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5505 Peachtree Dunwoody Rd Ste 412, Atlanta, GA 30342 Phone: 404-459-9177 Fax: 404-389-0400 | |
Dr. Seema Panduranga Kini, MD, MS Dermatology Medicare: Accepting Medicare Assignments Practice Location: Emory University Graduate, 1648 Pierce Dr., Atlanta, GA 30322 Phone: 404-778-0263 | |
Dr. Kelli Ingram Baender, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3379 Peachtree Rd. Ne, Suite 500, Atlanta, GA 30326 Phone: 404-355-5484 Fax: 404-355-5787 |