Tom John Albunian Mayuga, DO | |
507 Park St, Palmetto, GA 30268-1007 | |
(770) 463-4644 | |
Not Available |
Full Name | Tom John Albunian Mayuga |
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Gender | Male |
Speciality | Family Medicine |
Location | 507 Park St, Palmetto, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1902433246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 93028 (Georgia) | Primary |
Entity Name | Mayuga Family Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972203735 PECOS PAC ID: 5496111262 Enrollment ID: O20230522000161 |
Mailing Address | Practice Location Address |
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Tom John Albunian Mayuga, DO 507 Park St, Palmetto, GA 30268-1007 Ph: (770) 463-4644 | Tom John Albunian Mayuga, DO 507 Park St, Palmetto, GA 30268-1007 Ph: (770) 463-4644 |
Joanne E. Williams, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 404-929-8824 | |
Gabriela Pena, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 404-929-8824 | |
Dr. Milanieva Latorre, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 404-929-8824 Fax: 404-929-9769 | |
Matthew Charles Revilla, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 507 Park St, Palmetto, GA 30268 Phone: 770-463-4644 |