Marvin D Tark, MD | |
400 Tower Road, Suite 350, Marietta, GA 30060-9415 | |
(770) 590-1078 | |
(770) 422-7306 |
Full Name | Marvin D Tark |
---|---|
Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 400 Tower Road, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548373210 | NPI | - | NPPES |
000155339E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 018257 (Georgia) | Primary |
Entity Name | Interventional Spine And Pain Management Center, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518012004 PECOS PAC ID: 2769483031 Enrollment ID: O20070130000066 |
Mailing Address | Practice Location Address |
---|---|
Marvin D Tark, MD 400 Tower Rd Ne, Suite 350, Marietta, GA 30060-9415 Ph: (770) 590-1078 | Marvin D Tark, MD 400 Tower Road, Suite 350, Marietta, GA 30060-9415 Ph: (770) 590-1078 |
Dr. Quintin Gates, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Thomas E Hurd, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 400 Tower Road, Suite 350, Marietta, GA 30060 Phone: 770-590-1078 Fax: 770-422-7306 | |
Victor Osisanya, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 2550 Windy Hill Rd Se Ste 215, Ste 215, Marietta, GA 30067 Phone: 770-850-8464 Fax: 770-850-9727 | |
David W Gale, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Tower Rd Ne, Suite 350, Marietta, GA 30060 Phone: 770-590-1078 Fax: 770-422-7306 | |
Babur Kilic, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Dr. George Joseph Schilling Iv, DO Pain Medicine Medicare: Medicare Enrolled Practice Location: 620 Cherokee St Ne Ste 300, Marietta, GA 30060 Phone: 770-635-1812 Fax: 770-485-2883 |