Raven Ifoma Elosiebo-walker (NPI# 1437441797, PAC ID# 7416197520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1437441797 |
| PAC ID by PECOS | 7416197520 |
| Professional Enrollment ID | I20150831003135 |
| Full Name | Raven Ifoma Elosiebo-walker |
| Organization Legal Name | MARC E. YUNE, MD, PC |
| Address |
2001 Linger Longer Rd Greensboro GA 30642-4917 |
| Phone Number | 7703939000 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0840200747 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2001 Linger Longer Rd, Greensboro, GA 30642-4917 | 7703939000 | MARC E. YUNE, MD, PC |
| 1462 Montreal Rd, Suite 411, Tucker, GA 30084-6932 | 4042968000 | ATLANTA DERMATOLOGY AND SURGERY P.A. |
| Organization Legal Name | MARC E. YUNE, MD, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc E Yune | Plastic and Reconstructive Surgery | Marc E. Yune, Md, PC | 1825 Old Alabama Rd, Suite 201, Roswell, GA 30076-2258 |
| Katherine Mary Siedor | Physician Assistant | Marc E. Yune, Md, PC | 1825 Old Alabama Rd, Suite 201, Roswell, GA 30076-2258 |
| Kathryn Ann Seeger | Nurse Practitioner | Marc E. Yune, Md, PC | 1825 Old Alabama Rd, Suite 201, Roswell, GA 30076-2258 |
| Street Address |
2001 LINGER LONGER RD |
| City | GREENSBORO |
| State | GA |
| Zip | 30642-4917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L. Albanese | Clinical Social Worker | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Andrew Alexander Ke | Hospitalist | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Itoro Bassey Edet Daniels | Internal Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Craig B Colby | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Brandon Taylor | Internal Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Dave A Ringer | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Peggy D Edmonds | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Donna Amanda Kauffman | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Robert T Perry | Physician Assistant | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| James E Southerland | General Practice | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Find all physicians in zip 30642 | |||
| City | GREENSBORO |
| Zip Code | 30642 |
| Specialty | DERMATOLOGY |
| City + Specialty | GREENSBORO + DERMATOLOGY |
Please comment or provide details below to improve the information on Raven Ifoma Elosiebo-walker.
| 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.