Dr Daniel Park, MD | |
2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | |
(770) 485-1554 | |
Not Available |
Full Name | Dr Daniel Park |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 2285 Asquith Ave Sw Ste 200, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952546533 | NPI | - | NPPES |
Entity Name | Georgia Plastic & Reconstructive Surgery |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447580790 PECOS PAC ID: 3274660717 Enrollment ID: O20100415000025 |
Mailing Address | Practice Location Address |
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Dr Daniel Park, MD 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008-6092 Ph: (770) 485-1554 | Dr Daniel Park, MD 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 Ph: (770) 485-1554 |
Dr. Donald Keith West, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 823 Campbell Hill St Nw, Marietta, GA 30060 Phone: 770-425-0118 Fax: 770-426-1626 | |
Olatomide T Familusi, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2550 Windy Hill Rd Se Ste 312, Marietta, GA 30067 Phone: 516-983-7269 | |
Dr. Stanley A Okoro, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2285 Asquith Ave Sw, Suite 200, Marietta, GA 30008 Phone: 770-485-1554 | |
Dr. Rajae A Janho, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2759 Delk Rd Se, Suite 2400, Marietta, GA 30067 Phone: 770-858-0062 Fax: 770-858-1729 | |
Aisha Jenelle Mcknight Baron, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2550 Windy Hill Rd Se, Suite # 312, Marietta, GA 30067 Phone: 770-661-0201 | |
Dr. Michael Jeffery Mcneel, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 823 Campbell Hill St Nw, Marietta, GA 30060 Phone: 770-425-0118 Fax: 770-426-1626 | |
Dr. Thaddeus Sebastian Fabian, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 823 Campbell Hill St Nw, Marietta, GA 30060 Phone: 770-425-0118 Fax: 770-426-1626 |