Dr Charles Edward Weaver Jr, MD PHD | |
470 Northside Cherokee Blvd Ste 170, Canton, GA 30115-8029 | |
(770) 721-9540 | |
(770) 721-9541 |
Full Name | Dr Charles Edward Weaver Jr |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 26 Years |
Location | 470 Northside Cherokee Blvd Ste 170, Canton, 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 |
---|---|---|---|
1801899554 | NPI | - | NPPES |
642893452A | Medicaid | GA | |
854350 | Other | BCBS OF GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 56242 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Forsyth | Cumming, GA | Hospital |
Northside Hospital Cherokee | Canton, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Surgical Professional Services Llc | 8628253424 | 272 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Northside Surgical Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Edward Weaver Jr, MD PHD 2500 Hospital Blvd, Ste 310, Roswell, GA 30076-4947 Ph: (770) 664-9600 | Dr Charles Edward Weaver Jr, MD PHD 470 Northside Cherokee Blvd Ste 170, Canton, GA 30115-8029 Ph: (770) 721-9540 |
Bart A Macdonald, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 170, Canton, GA 30115 Phone: 770-721-9540 Fax: 770-721-9541 | |
Thomas Belknap, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 170, Canton, GA 30115 Phone: 770-721-9540 Fax: 770-721-9541 |