Gloria M Gamboa-gonzalez, MD | |
1120 15th St, Augusta, GA 30912-0004 | |
(706) 721-2198 | |
(706) 721-5748 |
Full Name | Gloria M Gamboa-gonzalez |
---|---|
Gender | Female |
Speciality | Plastic Surgery |
Location | 1120 15th St, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538279922 | NPI | - | NPPES |
G48898 | Medicaid | SC | |
000868436A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 048898 (Georgia) | Primary |
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Mailing Address | Practice Location Address |
---|---|
Gloria M Gamboa-gonzalez, MD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 828-8403 | Gloria M Gamboa-gonzalez, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-2198 |
Abelardo Medina, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 | |
Dr. Juan Manuel Lopez, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 | |
Dr. S.m. Abu Zaheed Hassan, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3675 J Dewey Gray Circle, Suite 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 888-745-3917 | |
Dr. Mouchammed Agko, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-724-6100 Fax: 706-724-1600 | |
Gerald J Khachi, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1467 Harper St, Augusta, GA 30901 Phone: 706-721-4628 | |
Dr. Robert Charles Dinsmore, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Kenna S. Given, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2198 Fax: 706-721-5748 |