Dr Thomas F Byars, MD | |
575 Professional Dr Ste 550, Lawrenceville, GA 30046-3356 | |
(855) 647-7678 | |
(404) 847-4488 |
Full Name | Dr Thomas F Byars |
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Gender | Male |
Speciality | Pediatrics - Sports Medicine |
Location | 575 Professional Dr Ste 550, 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 |
---|---|---|---|
1942234380 | NPI | - | NPPES |
000612598F | Medicaid | GA | |
62-0476822 | Other | TAX ID |
Entity Name | Northside Surgical Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
Mailing Address | Practice Location Address |
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Dr Thomas F Byars, MD 575 Professional Dr Ste 550, Lawrenceville, GA 30046-3356 Ph: (855) 647-7678 | Dr Thomas F Byars, MD 575 Professional Dr Ste 550, Lawrenceville, GA 30046-3356 Ph: (855) 647-7678 |
Howard Ross Ellis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 665 Duluth Hwy Ste 920, Lawrenceville, GA 30046 Phone: 678-312-5250 | |
Anuradha N Sheth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 755 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-277-6725 Fax: 770-277-9169 | |
Dr. Venkateswara Rao Dikkala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2775 Cruse Rd, Suite 1801, Lawrenceville, GA 30044 Phone: 678-380-9199 Fax: 908-634-2861 | |
Navneet Kaur Brar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3356 | |
Dr. Claire Dudley Wilkiemeyer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 945 River Centre Pl, Suite 200, Lawrenceville, GA 30043 Phone: 678-646-0404 | |
Scott Darby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018 | |
Keyana Renee Washington, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018 |