Christian A Ericson, MD | |
1150 Golden Way, Watkinsville, GA 30677-7712 | |
(706) 612-9401 | |
(706) 612-9420 |
Full Name | Christian A Ericson |
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Gender | Male |
Speciality | Urology |
Location | 1150 Golden Way, Watkinsville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801459664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME147430 (Florida) | Primary |
Entity Name | Mayo Clinic Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
Mailing Address | Practice Location Address |
---|---|
Christian A Ericson, MD 1150 Golden Way, Watkinsville, GA 30677-7712 Ph: (706) 612-9401 | Christian A Ericson, MD 1150 Golden Way, Watkinsville, GA 30677-7712 Ph: (706) 612-9401 |
Samuel Belknap, Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Catherine Schwender, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Dr. Alan Keith Carnes Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Robert Dean Clower, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Matthew Steele, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Dr. Gary Richard Walton, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 |