Dr Annie Park, DO | |
450 Northside Cherokee Blvd, Canton, GA 30115-8015 | |
(770) 224-1000 | |
(770) 224-2451 |
Full Name | Dr Annie Park |
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Gender | Female |
Speciality | Hospitalist |
Location | 450 Northside Cherokee Blvd, Canton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194165944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 079236 (Georgia) | Secondary |
207R00000X | Internal Medicine | 1688 (Alabama) | Secondary |
208M00000X | Hospitalist | 79236 (Georgia) | Primary |
Entity Name | Young Won Kang M.d. P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447438874 PECOS PAC ID: 6002830155 Enrollment ID: O20060117000613 |
Entity Name | Capital Healthcare Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811239627 PECOS PAC ID: 3779723309 Enrollment ID: O20190125000554 |
Mailing Address | Practice Location Address |
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Dr Annie Park, DO Po Box 2705, Huntsville, AL 35804-2705 Ph: (256) 265-3880 | Dr Annie Park, DO 450 Northside Cherokee Blvd, Canton, GA 30115-8015 Ph: (770) 224-1000 |
Drake Christian Dehoff, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 | |
Lindsey Hannah Panter, ACNP Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-2450 | |
Grant Herron Moody, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 Fax: 770-224-2451 | |
Dr. Neil K. Sinha, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 460 Northside Cherokee Blvd Ste 370, Canton, GA 30115 Phone: 678-880-7021 | |
Michael Anthony Martinelli, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1388 Fax: 770-224-1386 | |
Syed Nabi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 404-851-6325 | |
Dr. Rodrigo M Mancheno, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 Fax: 770-224-2451 |