| Mr Mark Hampton Blocker, PA | |
|
2150 Peachford Rd Ste Q, Atlanta, GA 30338-6539 | |
| (678) 615-7032 | |
| Not Available |
| Full Name | Mr Mark Hampton Blocker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2150 Peachford Rd Ste Q, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104321397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | Young Minds Psychiatry, LC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629330154 PECOS PAC ID: 3577715754 Enrollment ID: O20121217000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Hampton Blocker, PA 11540 Hwy 169, Glennville, GA 30427-6803 Ph: (912) 237-5540 | Mr Mark Hampton Blocker, PA 2150 Peachford Rd Ste Q, Atlanta, GA 30338-6539 Ph: (678) 615-7032 |
Chhaya J Gandhi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Suite A 4325, Atlanta, GA 30322 Phone: 404-778-3914 |
Miss Sheila Mahsa Dini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1185, Atlanta, GA 30308 Phone: 404-223-0792 Fax: 404-223-5815 |
Dacenta Grice, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 Phone: 404-231-4431 Fax: 404-231-5677 |
Heather Rose Van Duys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308 Phone: 404-881-1094 Fax: 404-874-1249 |
Ruth Flaherty, CCC-SLP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-2000 |
Kristen Swain, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 691 14th St Nw Ste E, Atlanta, GA 30318 Phone: 404-816-7900 |
Ms. Nives Keran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-1900 |