Miltonia M Woluchem (NPI# 1124086020, PAC ID# 3971581992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124086020 |
| PAC ID by PECOS | 3971581992 |
| Professional Enrollment ID | I20180613003323 |
| Full Name | Miltonia M Woluchem |
| Organization Legal Name | EAGLE'S LANDING LONGEVITY CENTER |
| Address |
1325 Rock Quarry Rd Suite 200 Stockbridge GA 30281-5033 |
| Phone Number | 7703890734 |
| Gender | F |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860776242 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110191 | PIEDMONT HENRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1325 Rock Quarry Rd, Suite 200, Stockbridge, GA 30281-5033 | 7703890734 | EAGLE'S LANDING LONGEVITY CENTER |
| Organization Legal Name | EAGLE'S LANDING LONGEVITY CENTER |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noellemarie A Barrera | Internal Medicine | Eagle's Landing Longevity Center | 1325 Rock Quarry Rd, Suite 200, Stockbridge, GA 30281-5033 |
| Street Address |
1325 ROCK QUARRY RD SUITE 200 |
| City | STOCKBRIDGE |
| State | GA |
| Zip | 30281-5033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gayla D Sylvain | Internal Medicine | 1325 Rock Quarry Rd, Suite 200, Stockbridge, GA 30281-5033 | |
| Noellemarie A Barrera | Internal Medicine | Eagle's Landing Longevity Center | 1325 Rock Quarry Rd, Suite 200, Stockbridge, GA 30281-5033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asad M Naqvi | Psychiatry | 135 Eagle Walk, Suite 150, Stockbridge, GA 30281 | |
| Earnest Darren Moore | Certified Registered Nurse Anesthetist (crna) | Anesthesia Solutions of Georgia LLC | 165 N Park Trail, Suite 100, Stockbridge, GA 30281 |
| Whatley B Fenlon | Psychologist, Clinical | 120 Martin Luther King Sr Heritage Trail, Suite 109, Stockbridge, GA 30281 | |
| German M Reyes | General Surgery | Gleneagles Surgery PC | 1215 Eagles Landing, Parkway Suite 105, Stockbridge, GA 30281 |
| Amanda L Hess | Chiropractic | 5430 N Henry Blvd, Suite 100, Stockbridge, GA 30281-3220 | |
| Richard D Buchanan | Chiropractic | 5124 N Henry Blvd, Stockbridge, GA 30281-3232 | |
| Porcia D Ewing | Chiropractic | 5459 N Henry Blvd, Suite C, Stockbridge, GA 30281-3265 | |
| Jeremy A Hess | Chiropractic | 5430 N Henry Blvd, Suite 100, Stockbridge, GA 30281-3270 | |
| Durie D Humber | Chiropractic | 165 Burke St, Suite 105, Stockbridge, GA 30281-3464 | |
| Carrie A Oberster | Chiropractic | 5008 N Henry Blvd, Stockbridge, GA 30281-3561 | |
| Find all physicians in zip 30281 | |||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STOCKBRIDGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Miltonia M Woluchem.
| 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.