| Shima Lavigno, PA-C | |
|
3890 Johns Creek Pkwy Ste 120, Suwanee, GA 30024-1285 | |
| (678) 472-9985 | |
| Not Available |
| Full Name | Shima Lavigno |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 3890 Johns Creek Pkwy Ste 120, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679855001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 6185 (Georgia) | Primary |
| Entity Name | Comprehensive Internal Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104966050 PECOS PAC ID: 7911993498 Enrollment ID: O20040421000786 |
| Entity Name | Comprehensive Internal Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154514339 PECOS PAC ID: 1153344759 Enrollment ID: O20060110000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Shima Lavigno, PA-C 3890 Johns Creek Pkwy Ste 120, Suwanee, GA 30024-1285 Ph: (678) 472-9985 | Shima Lavigno, PA-C 3890 Johns Creek Pkwy Ste 120, Suwanee, GA 30024-1285 Ph: (678) 472-9985 |
Karine Gelin, R PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024 Phone: 678-376-1300 Fax: 678-514-2936 |
Bryan Rainbolt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1300 Peachtree Industrial Blvd Ste 4101, Suwanee, GA 30024 Phone: 770-831-5525 |
Dimple Patel, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1853 Lake Shadow Way, Suwanee, GA 30024 Phone: 678-908-1478 |
Carrie Smith Nold, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 625 Old Peachtree Rd Nw, Suwanee, GA 30024 Phone: 770-682-2362 |
Eklas Mohammed, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 454 Satellite Blvd Nw Ste 100, Suwanee, GA 30024 Phone: 678-250-0880 |
Ms. Jaclyn Gleske, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1300 Peachtree Industrial Blvd Ste 4101, Suwanee, GA 30024 Phone: 770-831-5525 |
Julia S Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4285 Johns Creek Pkwy, Suite A, Suwanee, GA 30024 Phone: 770-622-4412 |