Mark S Wyatt, MD | |
1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | |
(770) 944-7818 | |
(770) 944-6402 |
Full Name | Mark S Wyatt |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 38 Years |
Location | 1700 Hospital South Dr, Austell, 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 |
---|---|---|---|
1245347194 | NPI | - | NPPES |
000414939C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 032499 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, 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 S Wyatt, MD 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 Ph: (770) 944-7818 | Mark S Wyatt, MD 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 Ph: (770) 944-7818 |
Tristan Keon Thomas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr Ste 202, Austell, GA 30106 Phone: 770-944-7818 | |
Mrs. Paulomi Sahir Shroff, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1790 Mulkey Rd, Suite 9-c, Austell, GA 30106 Phone: 770-941-3515 Fax: 772-941-3490 | |
Barry Mitchell Renz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr Ste 202, Austell, GA 30106 Phone: 470-644-0125 Fax: 470-644-0120 | |
Dr. Stephen Odom, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1810 Mulkey Rd, Suite 105, Austell, GA 30106 Phone: 770-944-0686 Fax: 770-948-9341 | |
Travis Lamont Perry, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 706-863-9595 Fax: 706-868-8375 |