| Antigone Menyon Constantine, | |
|
3153 Founders Way, Douglasville, GA 30135-3108 | |
| (678) 761-0569 | |
| Not Available |
| Full Name | Antigone Menyon Constantine |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3153 Founders Way, Douglasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912579608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 268628 (Georgia) | Primary |
| Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Antigone Menyon Constantine, 2023 Cumberland Ave Apt 8, Middlesboro, KY 40965-2858 Ph: () - | Antigone Menyon Constantine, 3153 Founders Way, Douglasville, GA 30135-3108 Ph: (678) 761-0569 |
Mr. Michael D Mccray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 770-794-0477 Fax: 770-794-3108 | |
Sandy Leeann Marshall Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 770-920-6413 Fax: 678-838-2532 |