Gregory Max Pyne, MD | |
117 Kite Rd, Swainsboro, GA 30401-3231 | |
(478) 289-1349 | |
(478) 289-1300 |
Full Name | Gregory Max Pyne |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 117 Kite Rd, Swainsboro, 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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1053344853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 058105 (Georgia) | Primary |
Entity Name | Northside Emergency Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Mailing Address | Practice Location Address |
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Gregory Max Pyne, MD Po Box 879, Swainsboro, GA 30401-0879 Ph: (478) 289-1349 | Gregory Max Pyne, MD 117 Kite Rd, Swainsboro, GA 30401-3231 Ph: (478) 289-1349 |
Dr. Robert Jay Wagner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1100 Fax: 478-289-1300 | |
Bobby Lee Derrick, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1368 Fax: 478-289-1300 | |
Dr. S Diane Rickert, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1100 | |
Joseph Obebe, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1100 | |
Eric G. Fogam, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1349 Fax: 478-289-1300 |