Dr Hoyt Wayborn Gazaway Jr, MD | |
771 Old Norcross Rd, Suite 255, Lawrenceville, GA 30046-4386 | |
(770) 963-2967 | |
(770) 339-4585 |
Full Name | Dr Hoyt Wayborn Gazaway Jr |
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Gender | Male |
Speciality | General Practice |
Location | 771 Old Norcross Rd, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710088505 | NPI | - | NPPES |
3459479 | Other | GA | AETNA |
565908 | Other | GA | US HEALTHCARE |
1706708 | Other | GA | UNITED HEALTH CARE |
00506173A | Medicaid | GA | |
1622803 | Other | GA | CIGNA |
205307637008 | Other | GA | PRUDENTIAL |
2447 | Other | GA | PROMINA |
987125 | Other | GA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 035421 (Georgia) | Primary |
Entity Name | Gwinnett Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780747469 PECOS PAC ID: 4284524166 Enrollment ID: O20040316000602 |
Entity Name | Ac Spine & Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013265479 PECOS PAC ID: 9133379605 Enrollment ID: O20130715000760 |
Mailing Address | Practice Location Address |
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Dr Hoyt Wayborn Gazaway Jr, MD 771 Old Norcross Rd, Suite 255, Lawrenceville, GA 30046-4386 Ph: (770) 963-2967 | Dr Hoyt Wayborn Gazaway Jr, MD 771 Old Norcross Rd, Suite 255, Lawrenceville, GA 30046-4386 Ph: (770) 963-2967 |
Dr. Ayorinde Soipe, MD, MSC General Practice Medicare: Medicare Enrolled Practice Location: 3545 Cruse Rd Ste 103, Lawrenceville, GA 30044 Phone: 470-227-8130 Fax: 470-747-7588 | |
Dr. Louis Guy Chelton Iii, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 80 Rivershyre Cir, Lawrenceville, GA 30043 Phone: 770-513-4828 | |
Jodene Marie Nagel, FNP General Practice Medicare: Accepting Medicare Assignments Practice Location: 1655 Lebanon Rd, Lawrenceville, GA 30043 Phone: 770-682-2024 | |
Winston L Samuels, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1846 Old Norcross Rd Ste 100, Lawrenceville, GA 30044 Phone: 404-738-7878 Fax: 404-999-4968 | |
Dr. Charitin De Pena Gomez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 601 Professional Dr Ofc 220a, Lawrenceville, GA 30046 Phone: 770-709-6922 | |
Reem Hudaib, General Practice Medicare: Not Enrolled in Medicare Practice Location: 1470 Bramlett Forest Trl, Lawrenceville, GA 30045 Phone: 404-644-3669 |