Willie Landrum (NPI# 1760653612, PAC ID# 0345316949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1760653612 |
| PAC ID by PECOS | 0345316949 |
| Professional Enrollment ID | I20080905000150 |
| Full Name | Willie Landrum |
| Address |
214 Tralee Circle F Fairburn GA 30213-5112 |
| Phone Number | 6785427256 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1701 | 6788437001 | EMORY MEDICAL GROUP, LLC |
| 1170 Cleveland Ave, East Point, GA 30344-3615 | 4044661170 | HOSPITALIST MEDICINE PHYSICIANS OF GEORGIA - EAST POINT, PC |
| 214 Tralee Circle, F, Fairburn, GA 30213-5112 | 6785427256 |
| Street Address |
214 TRALEE CIRCLE F |
| City | FAIRBURN |
| State | GA |
| Zip | 30213-5112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine C Emeruwa | Family Medicine | 7794 Ella Lane, Suite G, Fairburn, GA 30213 | |
| John W Mcgrath | Chiropractic | Mc Grath Community Chiropractic | 110 Nw Broad St, Fairburn, GA 30213-1436 |
| Renato C Souza | General Surgery | 204 Senoia Rd, Fairburn, GA 30213-1536 | |
| Spencer Edward Kasmere | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 5370 Hwy 92 530, Fairburn, GA 30213-2296 |
| Danielle N Jackson | Optometry | 5370 Hwy 92, Suite 410, Fairburn, GA 30213-2296 | |
| India Shenea Kimbro | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 5370 Hwy 92 530, Fairburn, GA 30213-2296 |
| Jordyn Clay Glover | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 5370 Hwy 92 530, Fairburn, GA 30213-2296 |
| Erin Victoria Wilson | Physical Therapy | Independent Physical Therapy of Georgia, LLC. | 5370 Hwy 92 530, Fairburn, GA 30213-2296 |
| Paul F Kaiser | Chiropractic | 8470 Senoia Rd, Fairburn, GA 30213-2870 | |
| Linda G Dinkins | Registered Dietitian Or Nutrition Professional | 6801 Oconee Pl, Fairburn, GA 30213-5407 | |
| Find all physicians in zip 30213 | |||
| City | FAIRBURN |
| Zip Code | 30213 |
| Specialty | HOSPITALIST |
| City + Specialty | FAIRBURN + HOSPITALIST |
Please comment or provide details below to improve the information on Willie Landrum.
| 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.