| Raymond L. Stovall, M.d., P.c. | |
|
600 Professional Dr Suite 150 Lawrenceville GA 30045-7651 | |
| (678) 376-1800 | |
| (678) 376-5500 |
| Full Name | Raymond L. Stovall, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 Professional Dr, Lawrenceville, Georgia |
| Authorized Official Name and Position | Raymond L Stovall (OWNER) |
| Authorized Official Contact | 6783761800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond L. Stovall, M.d., P.c. 600 Professional Dr Suite 150 Lawrenceville GA 30045-7651 Ph: (678) 376-1800 | Raymond L. Stovall, M.d., P.c. 600 Professional Dr Suite 150 Lawrenceville GA 30045-7651 Ph: (678) 376-1800 |
| NPI Number | 1003826041 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 06/18/2008 |
| Medicare PECOS PAC ID | 2567454572 |
|---|---|
| Medicare Enrollment ID | O20040331000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003826041 | NPI | - | NPPES |
| 00282675B | Medicaid | GA | |
| 10659984294 | Other | GA | HUMANA |
| 4031478 | Other | GA | AETNA |
| 52450038 | Other | GA | BLUE CROSS |
| 182686 | Other | GA | COVENTRY |
| 254743708 | Other | GA | HUMANA GOLD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 025291 (Georgia) | Primary |
| Provider Name | Raymond L Stovall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861402695 PECOS PAC ID: 7416949060 Enrollment ID: I20100202000003 |
Noemi A. Carcar, Md,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Grayson Hwy, Suite 216, Lawrenceville, GA 30045 Phone: 770-513-7711 Fax: 770-513-3352 | |
Norvin Ona, Do, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 Fax: 770-277-9159 | |
Ac Spine & Wellness Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Scenic Hwy # 124, Lawrenceville, GA 30046 Phone: 770-513-8922 Fax: 770-513-0547 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Zenia 2 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4835 Sugarloaf Pkwy, Suite 300, Lawrenceville, GA 30044 Phone: 407-375-5940 Fax: 407-375-5952 |