John G Porter, MD | |
790 Church St Ne, Suite 550, Marietta, GA 30060-7282 | |
(770) 419-9902 | |
(770) 419-7457 |
Full Name | John G Porter |
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Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 790 Church St Ne, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114962156 | NPI | - | NPPES |
2147453 | Other | GA | CIGNA |
1710946322 | Other | GA | GROUP NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 026620 (Georgia) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 026620 (Georgia) | Primary |
Entity Name | Physicians Spine And Rehab Specialists Of Ga |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710946322 PECOS PAC ID: 6002700960 Enrollment ID: O20040211000575 |
Mailing Address | Practice Location Address |
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John G Porter, MD 790 Church St Ne, Suite 550, Marietta, GA 30060-7282 Ph: (770) 419-9902 | John G Porter, MD 790 Church St Ne, Suite 550, Marietta, GA 30060-7282 Ph: (770) 419-9902 |
Dr. Quintin Gates, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Marvin D Tark, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 400 Tower Road, Suite 350, Marietta, GA 30060 Phone: 770-590-1078 Fax: 770-422-7306 | |
Thomas E Hurd, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 400 Tower Road, Suite 350, Marietta, GA 30060 Phone: 770-590-1078 Fax: 770-422-7306 | |
Victor Osisanya, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 2550 Windy Hill Rd Se Ste 215, Ste 215, Marietta, GA 30067 Phone: 770-850-8464 Fax: 770-850-9727 | |
David W Gale, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Tower Rd Ne, Suite 350, Marietta, GA 30060 Phone: 770-590-1078 Fax: 770-422-7306 | |
Babur Kilic, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Dr. George Joseph Schilling Iv, DO Pain Medicine Medicare: Medicare Enrolled Practice Location: 620 Cherokee St Ne Ste 300, Marietta, GA 30060 Phone: 770-635-1812 Fax: 770-485-2883 |