Suzanne Patrice Smith, MD | |
1293 Wellbrook Cir Ne, Conyers, GA 30012-3873 | |
(770) 922-2012 | |
(770) 922-8370 |
Full Name | Suzanne Patrice Smith |
---|---|
Gender | Female |
Speciality | Radiology - Radiation Oncology |
Location | 1293 Wellbrook Cir Ne, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487614574 | NPI | - | NPPES |
000900556F | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 48824 (Georgia) | Primary |
Entity Name | Radiotherapy Clinics Of Georgia,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851449540 PECOS PAC ID: 7911909486 Enrollment ID: O20070213000238 |
Mailing Address | Practice Location Address |
---|---|
Suzanne Patrice Smith, MD Po Box 116470, Atlanta, GA 30368-6470 Ph: (770) 682-2080 | Suzanne Patrice Smith, MD 1293 Wellbrook Cir Ne, Conyers, GA 30012-3873 Ph: (770) 922-2012 |
Dr. Clifford N Grossman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Michelle A Ross, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Dr. Bradley Lloyd Fricke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-607-7339 Fax: 770-607-0789 | |
Dr. Ratna Sajja, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1293 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-2012 Fax: 770-922-8370 | |
Richard Glen Stiles, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 Fax: 678-905-7053 | |
Mark Otto Bernardy, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1031 Jimson Dr Se, Conyers, GA 30013 Phone: 800-879-6274 Fax: 678-342-2547 |