Amanda H Ward (NPI# 1316059793, PAC ID# 1759389109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1316059793 |
PAC ID by PECOS | 1759389109 |
Professional Enrollment ID | I20061117000474 |
Full Name | Amanda H Ward |
Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
Address |
1605 Whitesville St Lagrange GA 30240-5903 |
Phone Number | 7068825119 |
Gender | F |
Credential | PA |
Graduation Year | 1995 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 9931277233 |
Number of Group Practice Members | 32 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
Address | Phone | Organization |
---|---|---|
4360 Chamblee Dunwoody Rd, Suite 260, Atlanta, GA 30341-1055 | 8502333376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
1543 Professional Pkwy, Auburn, AL 36830-2858 | 8502333376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
106 Westside Dr, Dothan, AL 36303-0106 | 3346993376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
1605 Whitesville St, Lagrange, GA 30240-5903 | 7068825119 | SOUTHEASTERN DERMATOLOGY GROUP PA |
Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
Physicians | 32 |
Name | Specialty | Organization | Address |
---|---|---|---|
Megan E Deselms | Physician Assistant | Southeastern Dermatology Group Pa | 2010 E Johnson Ave, Pensacola, FL 32514-6027 |
Josh A Hammel | Dermatology | Southeastern Dermatology Group Pa | 1605 Whitesville St, Lagrange, GA 30240-5903 |
Hannah Garnett | Nurse Practitioner | Southeastern Dermatology Group Pa | 201 A Longwood Dr Se, Huntsville, AL 35801-2742 |
John Phillips | Dermatology | Southeastern Dermatology Group Pa | 3089 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3216 |
Amy S West | Physician Assistant | Southeastern Dermatology Group Pa | 212 Nw Racetrack Rd, Fort Walton Beach, FL 32547-3831 |
Rachel E Brooks | Physician Assistant | Southeastern Dermatology Group Pa | 989 Elba Hwy, Troy, AL 36079-6050 |
Jeffrey B Stricker | Dermatology | Southeastern Dermatology Group Pa | 1474 Market St, Tallahassee, FL 32312-1768 |
Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
Garin D Barth | Dermatology | Southeastern Dermatology Group Pa | 2320 Double Churches Rd, Suite B, Columbus, GA 31909-2662 |
Lauren E Miller | Physician Assistant | Southeastern Dermatology Group Pa | 101 Cherry St, Gadsden, AL 35901-5234 |
Street Address |
1605 WHITESVILLE ST |
City | LAGRANGE |
State | GA |
Zip | 30240-5903 |
Name | Specialty | Organization | Address |
---|---|---|---|
Josh A Hammel | Dermatology | Southeastern Dermatology Group Pa | 1605 Whitesville St, Lagrange, GA 30240-5903 |
Name | Specialty | Organization | Address |
---|---|---|---|
Swaroop N Nyshadham | General Practice | 1990 Lukken Industrial Dr W, Suite C, Lagrange, GA 30240-1404 | |
James B Brown | Optometry | 803 New Franklin Rd, Lagrange, GA 30240-1843 | |
Stephan M Langston | Chiropractic | 403 Ridley Ave, Lagrange, GA 30240-2231 | |
Shannon K Dunlap | Psychologist, Clinical | 610 Ridley Ave, Lagrange, GA 30240-2236 | |
Ashley Miller | Nurse Practitioner | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
Kent Remley | Interventional Radiology | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
Jerry M Overall | Optometry | 208 Smith St, Lagrange, GA 30240-2755 | |
Margaret Darden Brown | Clinical Social Worker | 100 Smith St, Suite 1, Lagrange, GA 30240-2780 | |
James R Aspinwall | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
David P Dresselhaus | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
Find all physicians in zip 30240 |
City | LAGRANGE |
Zip Code | 30240 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | LAGRANGE + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.