| Long's Drugs Of Sandersville, Georgia, Inc. | |
|
2140 Peachtree Rd Nw Ste 232 Atlanta GA 30309-1316 | |
| (404) 231-4431 | |
| Not Available |
| Full Name | Long's Drugs Of Sandersville, Georgia, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2140 Peachtree Rd Nw Ste 232, Atlanta, Georgia |
| Authorized Official Name and Position | Ashley Ellis (CORPORATE COUNSEL) |
| Authorized Official Contact | 7046417967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long's Drugs Of Sandersville, Georgia, Inc. 5700 Granite Pkwy Ste 425 Plano TX 75024-6648 Ph: () - | Long's Drugs Of Sandersville, Georgia, Inc. 2140 Peachtree Rd Nw Ste 232 Atlanta GA 30309-1316 Ph: (404) 231-4431 |
| NPI Number | 1265155774 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 4385969609 |
|---|---|
| Medicare Enrollment ID | O20221206001542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265155774 | NPI | - | NPPES |
| Provider Name | Michael E Brown |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649286782 PECOS PAC ID: 6103865019 Enrollment ID: I20060320000445 |
| Provider Name | Mark G Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831268630 PECOS PAC ID: 3173605839 Enrollment ID: I20080204000091 |
| Provider Name | Quintin R Robinson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760684658 PECOS PAC ID: 7315063765 Enrollment ID: I20100923000369 |
| Provider Name | Dennis M Melton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982604336 PECOS PAC ID: 2062419898 Enrollment ID: I20110510000218 |
| Provider Name | Terry Hackworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174895643 PECOS PAC ID: 4082872213 Enrollment ID: I20120220000827 |
| Provider Name | Shannon L Ashley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619242922 PECOS PAC ID: 4688974769 Enrollment ID: I20151120001632 |
| Provider Name | Baron Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851750582 PECOS PAC ID: 7012203060 Enrollment ID: I20161005001598 |
| Provider Name | Erin Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891154613 PECOS PAC ID: 4486931573 Enrollment ID: I20170427000299 |
| Provider Name | Kyle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386179257 PECOS PAC ID: 6002187739 Enrollment ID: I20170729000013 |
| Provider Name | Michelle Thomason Sariev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902168610 PECOS PAC ID: 9830409234 Enrollment ID: I20171101002013 |
| Provider Name | Corrine Jones-williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649783325 PECOS PAC ID: 9436408010 Enrollment ID: I20180814004132 |
| Provider Name | Rodrick Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134507171 PECOS PAC ID: 4284949363 Enrollment ID: I20200625001261 |
| Provider Name | Quinton Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508223850 PECOS PAC ID: 4880012244 Enrollment ID: I20200916002355 |
| Provider Name | Pristella O Ohanaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073967055 PECOS PAC ID: 3072802933 Enrollment ID: I20210831000062 |
| Provider Name | Christopher S Hall |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295754729 PECOS PAC ID: 4385662055 Enrollment ID: I20240222002442 |
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