Martine L Camille (NPI# 1588019368, PAC ID# 5092041913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1588019368 |
| PAC ID by PECOS | 5092041913 |
| Professional Enrollment ID | I20190730001578 |
| Full Name | Martine L Camille |
| Organization Legal Name | THE BORTOLAZZO GROUP, LLC |
| Address |
8954 Hospital Dr Douglasville GA 30134-2282 |
| Phone Number | 7709491500 |
| Gender | F |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3476554320 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| 110184 | WELLSTAR DOUGLAS HOSPITAL |
| 110042 | WELLSTAR PAULDING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8954 Hospital Dr, Douglasville, GA 30134-2282 | 7709491500 | THE BORTOLAZZO GROUP, LLC |
| Organization Legal Name | THE BORTOLAZZO GROUP, LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry C Nygren | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Audrey C M Williams | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Thomas C Crouch | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Brett H Cannon | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Steven B Core | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Latanya Taneia Gobin | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Nirma D Bustamante | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Jazmin S Raadsen | Nurse Practitioner | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Nicholas Allen Hooper | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Tariq Noohani | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Street Address |
8954 HOSPITAL DR |
| City | DOUGLASVILLE |
| State | GA |
| Zip | 30134-2282 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reyes Torres Iii | Physician Assistant | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| Kalindi Parikh | Cardiovascular Disease (cardiology) | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| Joshua Thornsberry | Nurse Practitioner | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| Brandon Lebron Griggs | Nurse Practitioner | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| Manogna Maddineni | Hospitalist | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| Anila Jacob | Hospitalist | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| William A Griffith Jr. | General Surgery | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| Alan J Stevenson | Pathology | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| Christopher J Watts | Infectious Disease | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| Alsadek Sultan | Hospitalist | Wellstar Medical Group, LLC | 8954 Hospital Dr, Douglasville, GA 30134-2272 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Paine | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Jennifer L Hayes | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Lucy Schmidt Sugg | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Rhona A Hyman | Nurse Practitioner | Wellstar Medical Group, LLC | 9280 Hwy 5 H, Douglasville, GA 30134-1501 |
| Albert M Edwards | Family Medicine | 9280 Hwy 5 D, Douglasville, GA 30134-1501 | |
| Mohamad A Hamki | Emergency Medicine | Prime Immediate Care LLC | 9280 Hwy 5 E, Douglasville, GA 30134-1501 |
| Dominic I Asika | Emergency Medicine | Prime Immediate Care LLC | 9280 Hwy 5 E, Douglasville, GA 30134-1501 |
| Michelle Huggins | Internal Medicine | 6934 Hwy 78, Douglasville, GA 30134-1604 | |
| David M Lebhaft | Chiropractic | 6602 Church St, Douglasville, GA 30134-1808 | |
| Michael Shannon Moody | Family Medicine | 8464 Adair St, Douglasville, GA 30134-1839 | |
| Find all physicians in zip 30134 | |||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DOUGLASVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Martine L Camille.
| 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.