John C Pezold, MD | |
150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 | |
(770) 832-1488 | |
Not Available |
Full Name | John C Pezold |
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Gender | Male |
Speciality | Otolaryngology |
Experience | 23 Years |
Location | 150 Clinic Ave, Carrollton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245272806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 057233 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tanner Medical Group | 2769536143 | 98 |
Entity Name | Carrollton Ear Nose And Throat Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410401 PECOS PAC ID: 3577558931 Enrollment ID: O20040416000289 |
Entity Name | Tanner Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
Mailing Address | Practice Location Address |
---|---|
John C Pezold, MD 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 Ph: (770) 832-1488 | John C Pezold, MD 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 Ph: (770) 832-1488 |
Dr. William Bradley Gambrell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 201, Carrollton, GA 30117 Phone: 770-832-1488 | |
L Mark Gustafson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 201, Carrollton, GA 30117 Phone: 770-832-1488 |