Daniel Mark Henson, MD | |
1240 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 30501-3861 | |
(770) 536-9864 | |
(770) 297-5023 |
Full Name | Daniel Mark Henson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1240 Jesse Jewell Pkwy Se, 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 |
---|---|---|---|
1780687756 | NPI | - | NPPES |
00285227B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 025173 (Georgia) | Primary |
Entity Name | Northeast Georgia Diagnostic Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215976634 PECOS PAC ID: 5092700377 Enrollment ID: O20040416000499 |
Mailing Address | Practice Location Address |
---|---|
Daniel Mark Henson, MD 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 Ph: (770) 536-9864 | Daniel Mark Henson, MD 1240 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 30501-3861 Ph: (770) 536-9864 |
James D Jackson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583 | |
Dr. Nitya S Chandra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
Dr. Lisa Armsrees Gillespie, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420 | |
Dr. Noelle Claudine Stanley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501 Phone: 770-219-9179 | |
Kedric Naylor, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 Fax: 770-538-7872 | |
Dr. William Nathan Blake, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Ngpg Inpatient Medicine, Gainesville, GA 30501 Phone: 770-219-6000 Fax: 770-219-6021 | |
Roberto Manuel Villanueva, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501 Phone: 770-536-9864 |