Charles Tyler Smith, MD | |
743 Spring St Ne, Gainesville, GA 30501-3715 | |
(770) 532-7179 | |
Not Available |
Full Name | Charles Tyler Smith |
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Gender | Male |
Speciality | Anesthesiology |
Location | 743 Spring St Ne, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427553700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | PENDING (North Carolina) | Secondary |
207L00000X | Anesthesiology | 92957 (Georgia) | Primary |
Entity Name | Anesthesia Associates Of Gainesville, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457456485 PECOS PAC ID: 2769381771 Enrollment ID: O20040108000009 |
Entity Name | Ambulatory Anesthesia Of North Georgia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497870562 PECOS PAC ID: 9931121332 Enrollment ID: O20051229000181 |
Mailing Address | Practice Location Address |
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Charles Tyler Smith, MD 1488 Jesse Jewell Pkwy Se Ste 201, Gainesville, GA 30501-3804 Ph: (770) 532-7179 | Charles Tyler Smith, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 532-7179 |
Christine D Lallos, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 Fax: 770-219-6021 | |
Dr. Britton David Knowles, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 | |
Eric D Shapiro, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 | |
John Mark Zimmerman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 | |
Dr. Martin L. Bremer, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1296 Sims Street, Suite B, Gainesville, GA 30501 Phone: 770-534-1856 | |
Robert J Winham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 | |
Kerry T Zottnick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 |