Joseph B Gunn, MD | |
725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | |
(770) 535-3611 | |
(770) 535-7092 |
Full Name | Joseph B Gunn |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 725 Jesse Jewell Pkwy Se, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609846369 | NPI | - | NPPES |
1207112 | Other | GA | UNITED HEALTHCARE |
000317402F | Medicaid | GA | |
2031829 | Other | GA | AETNA HMO |
303671 | Other | GA | WELLCARE |
000317402D | Medicaid | GA | |
000317402C | Medicaid | GA | |
000317402E | Medicaid | GA | |
10032967 | Other | GA | AMERIGROUP |
303690 | Other | GA | WELLCARE |
303691 | Other | GA | WELLCARE |
303693 | Other | GA | WELLCARE |
52024745 | Other | GA | BCBS |
000317402B | Medicaid | GA | |
1605016 | Other | GA | CIGNA |
4104401 | Other | GA | AETNA PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 021003 (Georgia) | Primary |
Entity Name | The Longstreet Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Mailing Address | Practice Location Address |
---|---|
Joseph B Gunn, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Joseph B Gunn, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 535-3611 |
Cynthia Aracelly Cabrera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-533-6645 Fax: 770-535-2642 | |
Dr. Kelly Miller Lathem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 S Enota Dr Ne, Suite 150, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871 | |
Heather D Butler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871 | |
Nancy Ellen Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092 | |
John V Glisson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092 | |
Dr. Varachati Soodjinda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 592 Medical Park Dr, Suite A, Gainesville, GA 30501 Phone: 770-374-0068 | |
Megan Joyce Farley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092 |