Carliss Christopher Graham, MD | |
80 Interstate South Dr, Suite B, Jasper, GA 30143-6226 | |
(678) 454-3306 | |
(706) 253-2431 |
Full Name | Carliss Christopher Graham |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 19 Years |
Location | 80 Interstate South Dr, Jasper, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841441458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 063782 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Providers Llc | 9830082825 | 367 |
Entity Name | Piedmont Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
Entity Name | Piedmont Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376624940 PECOS PAC ID: 3274529524 Enrollment ID: O20040423000767 |
Entity Name | Piedmont Specialty Hospital Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
Mailing Address | Practice Location Address |
---|---|
Carliss Christopher Graham, MD 80 Interstate South Dr, Suite B, Jasper, GA 30143-6226 Ph: (678) 454-3306 | Carliss Christopher Graham, MD 80 Interstate South Dr, Suite B, Jasper, GA 30143-6226 Ph: (678) 454-3306 |
Dr. Bradley Dwayne Hare, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 80 Interstate South Dr Ste B, Jasper, GA 30143 Phone: 706-253-2430 | |
Michael Turner Rumble, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Interstate South Dr, Suite B, Jasper, GA 30143 Phone: 678-454-3306 Fax: 678-454-3311 | |
George W Glazebrook, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Interstate South Dr, Ste B, Jasper, GA 30143 Phone: 706-692-9081 Fax: 706-692-0155 | |
Rosa L Langella, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 80 Interstate South Dr, Ste B, Jasper, GA 30143 Phone: 706-692-9081 Fax: 706-692-0155 | |
Roy Chu, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Interstate South Dr, Ste B, Jasper, GA 30143 Phone: 706-692-9081 Fax: 706-692-0155 |