Dr Donald Lance Smallwood, DO | |
1120 15th St, Augusta, GA 30912-0001 | |
(706) 721-8623 | |
(706) 721-1459 |
Full Name | Dr Donald Lance Smallwood |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1120 15th St, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225487903 | NPI | - | NPPES |
91813 | Other | GA | GA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | RTL21-0032 (North Carolina) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 91813 (Georgia) | Primary |
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
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 | Au Health Imaging, Llc |
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Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
Entity Identifiers | NPI Number: 1487285193 PECOS PAC ID: 4688094105 Enrollment ID: O20201021001583 |
Mailing Address | Practice Location Address |
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Dr Donald Lance Smallwood, DO 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-8623 | Dr Donald Lance Smallwood, DO 1120 15th St, Augusta, GA 30912-0001 Ph: (706) 721-8623 |
Michael A Winkler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Jagadishwar Devkota, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 Winged Foot Dr, Augusta, GA 30907 Phone: 706-414-8235 Fax: 706-364-2606 | |
Paul N. Karmin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9729 Fax: 706-721-8507 | |
Juhi Bansal, Radiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. William Bruce Tannehill, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 630 13th St, Suite 250, Augusta, GA 30901 Phone: 706-724-2500 Fax: 706-823-5928 | |
Dr. Kandace Rhea Klein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Ba-1411, Augusta, GA 30912 Phone: 706-721-3233 | |
Dr. Corey Garvin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 352-286-9383 |