Dr David Ross Penn, MD | |
1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117 | |
(770) 996-9945 | |
Not Available |
Full Name | Dr David Ross Penn |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 16 Years |
Location | 1035 Southcrest Dr Ste 250, Stockbridge, 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 |
---|---|---|---|
1760644355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 30815 (South Carolina) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 072605 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Regional Medical Center | Riverdale, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Atlanta Vascular Institute, Llc | 7315289972 | 3 |
Entity Name | South Atlanta Vascular Institute, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063903078 PECOS PAC ID: 7315289972 Enrollment ID: O20190430002811 |
Mailing Address | Practice Location Address |
---|---|
Dr David Ross Penn, MD 860 Peachtree St Ne Unit 1902, Atlanta, GA 30308-1277 Ph: (954) 560-1177 | Dr David Ross Penn, MD 1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117 Ph: (770) 996-9945 |
Dr. Sasha Hyatt Wahab, MD, MA Radiology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-228-3737 Fax: 770-228-9334 | |
Nemil Shah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 706-077-3397 Fax: 678-905-7053 | |
Kim Vu Neisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 Hospital Dr, Stockbridge, GA 30281 Phone: 678-251-1099 | |
Steven V Manzi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-389-2200 | |
Toluwalase Ashimolowo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-607-7339 Fax: 678-905-7053 | |
Dr. David William Allison, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7402 Davidson Cir W, Stockbridge, GA 30281 Phone: 770-919-5238 | |
Dr. Charles Arthur Gilliland Iv, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-607-7339 Fax: 678-905-7053 |