Dr John Bradley Wyly, MD | |
Radiology Egleston Hospital 1405 Clifton Rd Ne, Atlanta, GA 30322-0001 | |
(404) 785-6407 | |
(404) 785-1216 |
Full Name | Dr John Bradley Wyly |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | Radiology Egleston Hospital 1405 Clifton Rd Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1972526200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2085R0202X | Radiology - Diagnostic Radiology | 26415 (Georgia) | Primary |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Choa Hospital Based, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457695488 PECOS PAC ID: 4688812498 Enrollment ID: O20130605000601 |
Mailing Address | Practice Location Address |
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Dr John Bradley Wyly, MD Radiology Egleston Hospital 1405 Clifton Rd Ne, Atlanta, GA 30322-0001 Ph: (404) 785-6407 | Dr John Bradley Wyly, MD Radiology Egleston Hospital 1405 Clifton Rd Ne, Atlanta, GA 30322-0001 Ph: (404) 785-6407 |
Omar Nabil Kallas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Road, Department Of Radiology And Imaging Sciences, Atlanta, GA 30322 Phone: 404-778-3900 | |
Dr. Bijan Ghorashi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 Glenlake Parkway, Kaiser Permanente Glenlake Medical, Atlanta, GA 30328 Phone: 404-365-0966 Fax: 606-666-6107 | |
Dr. George Oren Atkinson Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Emory University Hospital, 1364 Clifton Road, Ne, Atlanta, GA 30322 Phone: 404-785-6547 Fax: 404-785-1216 | |
Dr. Fabio P Esteves, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne Radiology, Atlanta, GA 30322 Phone: 404-778-5586 | |
Amy J Figueroa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-851-8000 | |
Debora Lou Coursey-prah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1968 Peachtree Rd Nw, Radiology Department, Atlanta, GA 30309 Phone: 404-605-5000 | |
Sachin Parikh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Breast Imaging Center, Winship C, Atlanta, GA 30322 Phone: 404-778-1856 Fax: 404-712-7561 |