Mark L Gravlee, MD | |
2500 Hospital Boulevard, Suite 420, Roswell, GA 30076-4919 | |
(770) 410-4661 | |
(770) 410-4664 |
Full Name | Mark L Gravlee |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 38 Years |
Location | 2500 Hospital Boulevard, Roswell, 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 |
---|---|---|---|
1306942115 | NPI | - | NPPES |
000454902D | Medicaid | GA | |
000454902E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 034355 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
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 L Gravlee, MD 2500 Hospital Blvd Ste 290, Roswell, GA 30076-4918 Ph: (470) 956-4560 | Mark L Gravlee, MD 2500 Hospital Boulevard, Suite 420, Roswell, GA 30076-4919 Ph: (770) 410-4661 |
Dr. Craig Rodney Mccready, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 Hospital Blvd Ste 230, Roswell, GA 30076 Phone: 470-956-4560 Fax: 770-475-8968 | |
Theolyn N Price, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 420, Roswell, GA 30076 Phone: 704-249-7327 Fax: 770-421-0228 | |
Dr. Desiree Villadolid, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1825 Old Alabama Rd, Roswell, GA 30076 Phone: 305-965-3374 | |
Dr. Alan Lee Goldman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 150, Roswell, GA 30076 Phone: 770-442-3117 Fax: 678-701-1722 | |
Dr. James Clifton Haynes, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 Hospital Blvd Ste 290, Roswell, GA 30076 Phone: 470-956-4560 Fax: 770-475-8968 | |
Kristie Scaldone, CSA Surgery Medicare: Not Enrolled in Medicare Practice Location: 749 Grimes Bridge Rd, Roswell, GA 30075 Phone: 770-985-4257 Fax: 770-985-4258 |