Marie Blaize, | |
705 Dixie St, Carrollton, GA 30117-3818 | |
(770) 838-8824 | |
(770) 838-8563 |
Full Name | Marie Blaize |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 11 Years |
Location | 705 Dixie St, Carrollton, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275979205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD61514731 (Washington) | Secondary |
207R00000X | Internal Medicine | 076302 (Georgia) | Secondary |
208M00000X | Hospitalist | 076302 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
Higgins General Hospital | Bremen, GA | Hospital |
Whidbeyhealth Medical Center | Coupeville, WA | Hospital |
Tanner Medical Center-east Alabama | Wedowee, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Apogee Medical Group Georgia | 4587676945 | 101 |
Utm Of Georgia Physicians Llc | 5991138307 | 24 |
South Sound Inpatient Physicians Pllc | 5991618738 | 302 |
Entity Name | Apogee Medical Group Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214 |
Entity Name | Utm Of Georgia Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255893038 PECOS PAC ID: 5991138307 Enrollment ID: O20191125002037 |
Mailing Address | Practice Location Address |
---|---|
Marie Blaize, 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 838-8824 | Marie Blaize, 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 838-8824 |
Steven Allen Eubanks Jr., M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 148 Clinic Ave, Carrollton, GA 30117 Phone: 770-838-8640 Fax: 770-838-8650 | |
Vaughn S Clagette, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-838-8929 Fax: 770-838-8930 | |
Dr. Suzanne Cahill Manley, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 148 Clinic Ave, Carrollton, GA 30117 Phone: 770-838-8640 Fax: 770-838-8650 | |
Dr. Holley Elizabeth Beam, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 148 Clinic Ave, Carrollton, GA 30117 Phone: 770-838-8640 Fax: 770-838-8650 |