Emad Atta
EMORY MEDICAL CORPORATION


Address: 4812w Us Hwy 90, Lake City, FL 32055-5126
Phone: 3864661106

Emad Atta (NPI# 1851587505, PAC ID# 2961591623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1851587505
PAC ID by PECOS 2961591623
Professional Enrollment ID I20110223001167
Full Name Emad Atta
Organization Legal Name EMORY MEDICAL CORPORATION
Address 4812w Us Hwy 90
Lake City
FL 32055-5126
Phone Number 3864661106
Gender M
Graduation Year 1991
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialties GENERAL PRACTICE
Group Practice PAC ID 2466633441
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100102 SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
4812w Us Hwy 90, Lake City, FL 32055-5126 3864661106 EMORY MEDICAL CORPORATION

Organization Information

Organization Legal Name EMORY MEDICAL CORPORATION
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Chandler Mohan Obstetrics/gynecology Emory Medical Corporation 4812w Us Hwy 90, Lake City, FL 32055-5126

Office Location

Street Address 4812W US HWY 90
City LAKE CITY
State FL
Zip 32055-5126

Physicians in the same location

Name Specialty Organization Address
Chandler Mohan Obstetrics/gynecology Emory Medical Corporation 4812w Us Hwy 90, Lake City, FL 32055-5126

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Name Specialty Organization Address
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Mark Alan Dobbertien Emergency Medicine Columbia Emergency Group LLC 368 Ne Franklin St, Lake City, FL 32055-3088
Anthony B Chillura Anesthesiology Ams National LLC 368 Ne Franklin St, Lake City, FL 32055-3088
Laurence Evan Reitman Diagnostic Radiology Fands Radiology PC 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088
Bryce R Tiller Emergency Medicine Columbia Emergency Group LLC 368 Ne Franklin St, Lake City, FL 32055-3088
Christopher Johnson Emergency Medicine Columbia Emergency Group LLC 368 Ne Franklin St, Lake City, FL 32055-3088
Stanley W Janasiewicz Emergency Medicine Columbia Emergency Group LLC 368 Ne Franklin St, Lake City, FL 32055-3088
Cimaron E Holt Certified Registered Nurse Anesthetist (crna) Ams National LLC 368 Ne Franklin St, Lake City, FL 32055-3088
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Competitor

Search similar physicians

City LAKE CITY
Zip Code 32055
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty LAKE CITY + OBSTETRICS/GYNECOLOGY

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Dataset Information

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.

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