Mark A Crump, MD | |
708 S 8th St, Griffin, GA 30224-4827 | |
(770) 228-5402 | |
(770) 412-6917 |
Full Name | Mark A Crump |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 708 S 8th St, Griffin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558362897 | NPI | - | NPPES |
581936002 | Other | GA | TAX ID |
000332758A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 28957 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Mark A Crump, MD 708 S 8th St, Griffin, GA 30224-4827 Ph: (770) 228-5402 | Mark A Crump, MD 708 S 8th St, Griffin, GA 30224-4827 Ph: (770) 228-5402 |
Dr. Appaswamy M Gowda, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 230 W College St, Suite C, Griffin, GA 30224 Phone: 770-228-9020 Fax: 770-229-4063 | |
Jolina Pamela C Santos, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 604a S 8th St, Griffin, GA 30224 Phone: 678-248-2899 Fax: 770-233-4824 | |
Noor Ul Ain Munira Naz Qureshi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 747 S 8th St Ste B, Griffin, GA 30224 Phone: 470-604-8250 Fax: 770-999-2814 | |
John R Dupre, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 604a S 8th St, Griffin, GA 30224 Phone: 770-227-1999 | |
Dr. Cyril Anara, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 S 8th St, Griffin, GA 30224 Phone: 770-229-6909 | |
Dr. Adanech Zekiewos Gichamo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 601 S 8th St, Griffin, GA 30224 Phone: 770-265-4919 | |
Dr. Rosa Estiponia Clemente, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 S 8th St, Griffin, GA 30224 Phone: 770-228-5187 Fax: 770-228-9837 |