| Kenzie Dittmar, PA | |
|
850 Charles Hardy Pkwy, Dallas, GA 30157-3163 | |
| (770) 336-8888 | |
| Not Available |
| Full Name | Kenzie Dittmar |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 850 Charles Hardy Pkwy, Dallas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265228795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenzie Dittmar, PA 1502 N Amanda Cir Ne, Atlanta, GA 30329-3320 Ph: () - | Kenzie Dittmar, PA 850 Charles Hardy Pkwy, Dallas, GA 30157-3163 Ph: (770) 336-8888 |
Kelly Elizabeth Decker, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10175 Dallas Acworth Hwy Ste 103-14, Dallas, GA 30132 Phone: 678-481-1647 Fax: 770-336-6620 | |
Mary K Rau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Hosiery Mill Rd, 124, Dallas, GA 30157 Phone: 770-443-6111 | |
Edwige Michel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1068 Merchants Dr Apt 424, Dallas, GA 30132 Phone: 706-784-3032 | |
Bridgette Denise Wokal, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10175 Dallas Acworth Hwy Ste 103-14, Dallas, GA 30132 Phone: 678-481-1647 Fax: 770-336-6620 | |
Mr. Chad Stough, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2713 Marietta Highway, Suite 122, Dallas, GA 30157 Phone: 770-505-3162 Fax: 770-948-9126 | |
Mr. Mark David Roman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 225 Mary Wallace Way, Dallas, GA 30157 Phone: 770-608-3302 |