Dr Hoyt Wayborn Gazaway Jr, MD | |
2973 Heart Pine Ln, Buford, GA 30519-7643 | |
(404) 901-4075 | |
Not Available |
Full Name | Dr Hoyt Wayborn Gazaway Jr |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 2973 Heart Pine Ln, Buford, 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 |
1706708 | Other | GA | UNITED HEALTH CARE |
2447 | Other | GA | PROMINA |
00506173A | Medicaid | GA | |
1622803 | Other | GA | CIGNA |
565908 | Other | GA | US HEALTHCARE |
3459479 | Other | GA | AETNA |
205307637008 | Other | GA | PRUDENTIAL |
987125 | Other | GA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 035421 (Guam) | Secondary |
208D00000X | General Practice | 035421 (Georgia) | Primary |
Entity Name | Gwinnett Medical Group, Inc |
---|---|
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 |
---|---|
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 |
---|---|
Dr Hoyt Wayborn Gazaway Jr, MD 2973 Heart Pine Ln, Buford, GA 30519-7643 Ph: (404) 901-4075 | Dr Hoyt Wayborn Gazaway Jr, MD 2973 Heart Pine Ln, Buford, GA 30519-7643 Ph: (404) 901-4075 |
Dr. Calixto Jose Cornavaca Diaz, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 578 S Enota Dr Ne, Ste C, Buford, GA 30519 Phone: 423-619-8381 Fax: 470-290-8474 | |
Dr. Hazim A Farisi, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 4965 Friendship Rd, St 103, Buford, GA 30518 Phone: 678-714-5692 Fax: 678-714-5693 |