Dr Jaiwantkumar M Avula, MD | |
80 Newnan Station Drive, Suite A, Newnan, GA 30265 | |
(770) 251-2060 | |
(678) 854-9235 |
Full Name | Dr Jaiwantkumar M Avula |
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Gender | Male |
Speciality | Anesthesiology |
Location | 80 Newnan Station Drive, Suite A, Newnan, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346213550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 043533 (Georgia) | Primary |
Entity Name | Sentry Anesthesia Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Mailing Address | Practice Location Address |
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Dr Jaiwantkumar M Avula, MD Po Box 73709, Newnan, GA 30271-3709 Ph: (770) 251-2060 | Dr Jaiwantkumar M Avula, MD 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Ph: (770) 251-2060 |
Sarah Aileen Jennings-kumagai, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 770-400-1000 | |
Dr. Roy Charles Brownlow, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Newnan Crossing Blvd E Ste 120, Newnan, GA 30265 Phone: 770-771-6580 Fax: 707-771-6589 | |
Dr. Brian Everett Caruthers, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Dr, Ste A, Newnan, GA 30265 Phone: 770-251-2060 | |
Dr. Ian Marks, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 80 Newnan Station Dr Ste A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Dr. Reinhard Ketsche, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 770-400-1000 | |
Oladiran Oladapo Amosu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 770-400-1000 |