Jennifer Yvonne Marshall, MD | |
6645 Lake Dr, Morrow, GA 30260-2354 | |
(770) 968-9978 | |
(770) 968-9975 |
Full Name | Jennifer Yvonne Marshall |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 6645 Lake Dr, Morrow, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174561302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 053279 (Georgia) | Primary |
Entity Name | Capitol Anesthesiology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245287192 PECOS PAC ID: 5799774642 Enrollment ID: O20040507000216 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Yvonne Marshall, MD Po Box 278, Jonesboro, GA 30237-0278 Ph: (770) 968-9978 | Jennifer Yvonne Marshall, MD 6645 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-9978 |
Errol Scott Leaderman, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 6645 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Randall David Morgan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6645 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Leslie Yvette Dorsey, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 6645 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Gwendolyn Kloth Zember, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Dr. Tiffiny Williams Ture', M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 |