| Walter Watkins, | |
|
3000 Hospital Blvd, Roswell, GA 30076-4915 | |
| (770) 751-2567 | |
| Not Available |
| Full Name | Walter Watkins |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3000 Hospital Blvd, Roswell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710087986 | NPI | - | NPPES |
| 000425576C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 029260 (Georgia) | Primary |
| Entity Name | C & C Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871649525 PECOS PAC ID: 0840284659 Enrollment ID: O20040414000152 |
| Entity Name | United Emergency Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326007915 PECOS PAC ID: 5799697272 Enrollment ID: O20040819000058 |
| Entity Name | North Fulton Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053456954 PECOS PAC ID: 6800981986 Enrollment ID: O20071004000272 |
| Entity Name | Fannin Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588962880 PECOS PAC ID: 7012190002 Enrollment ID: O20110329000723 |
| Entity Name | Baldwin Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306206826 PECOS PAC ID: 7012208408 Enrollment ID: O20160615000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Watkins, 5665 New Northside Dr Nw, Atlanta, GA 30328-5831 Ph: (770) 874-5400 | Walter Watkins, 3000 Hospital Blvd, Roswell, GA 30076-4915 Ph: (770) 751-2567 |
Michael Lipscomb, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2567 | |
Damon C. Kimes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Upper Hembree Rd Ste B, Roswell, GA 30076 Phone: 678-736-7680 Fax: 888-537-5362 | |
Samuel Lorenzo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 678-672-5100 Fax: 678-672-5101 | |
Angela Keel, RN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2505 | |
Charles V Pollack Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 Wilde Run Ct, Roswell, GA 30075 Phone: 610-329-2986 Fax: 888-959-8345 | |
Dr. Lisa M Perez, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 Bombay Ln, Roswell, GA 30076 Phone: 678-869-5158 Fax: 678-869-5159 | |
Jonathan Mills, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2567 |