Dr Wesley Lane Blackwood, MD | |
1062 Forsyth St, Suite 3a, Macon, GA 31201-8637 | |
(478) 743-4622 | |
Not Available |
Full Name | Dr Wesley Lane Blackwood |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 1062 Forsyth St, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093930208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 062657 (Georgia) | Primary |
Entity Name | Hospital Authority Of Mitchell County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700830247 PECOS PAC ID: 6002724598 Enrollment ID: O20031117000138 |
Entity Name | John D. Archbold Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
Entity Name | Grady General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013961507 PECOS PAC ID: 7618866518 Enrollment ID: O20040310001254 |
Entity Name | Brooks County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306890942 PECOS PAC ID: 1557279049 Enrollment ID: O20040316000884 |
Entity Name | Children's Healthcare Of Atlanta Cardiology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235148727 PECOS PAC ID: 6901888395 Enrollment ID: O20040601000805 |
Entity Name | St Francis Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073 |
Mailing Address | Practice Location Address |
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Dr Wesley Lane Blackwood, MD 2835 Brandywine Rd, #300, Atlanta, GA 30341-5540 Ph: (404) 256-2593 | Dr Wesley Lane Blackwood, MD 1062 Forsyth St, Suite 3a, Macon, GA 31201-8637 Ph: (478) 743-4622 |
Dr. Marcia Bender Hutchinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 149 Ashford Park, Macon, GA 31210 Phone: 478-342-5465 | |
Lauren Wagner, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Hemlock St, Msc 42, Macon, GA 31201 Phone: 478-633-7600 Fax: 478-633-7354 | |
Rachel Goodson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1014 Forsyth St, Macon, GA 31201 Phone: 478-633-8100 Fax: 478-633-6268 | |
Lowell Clark, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Msc 83, Macon, GA 31201 Phone: 478-633-7140 | |
Umesh Sundersingh Narsinghani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-7140 | |
Dr. Vishwas S Sakhalkar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 770 Pine St Ste 520, Macon, GA 31201 Phone: 478-633-2694 Fax: 478-633-4146 | |
Dana Lindsey Mayo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 550 Professional Dr, Macon, GA 31201 Phone: 478-741-3007 |