Nguendab K Gwanyalla, | |
1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | |
(404) 712-2000 | |
Not Available |
Full Name | Nguendab K Gwanyalla |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 5 Years |
Location | 1364 Clifton Rd Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275095291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 89932 (Georgia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Bortolazzo Group, Llc | 3476554320 | 72 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Mailing Address | Practice Location Address |
---|---|
Nguendab K Gwanyalla, 530 Piedmont Ave Ne Apt 515, Atlanta, GA 30308-4408 Ph: () - | Nguendab K Gwanyalla, 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 Ph: (404) 712-2000 |
Dr. Benjamin Aaron Levy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5665 New Northside Dr Nw, Suite 200, Atlanta, GA 30328 Phone: 770-874-5400 | |
Essi I Peers, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5665 New Northside Dr Ste 200, Atlanta, GA 30328 Phone: 770-874-5400 | |
Michael Franczak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309 Phone: 404-605-6517 | |
Dr. Alexander William Kelly, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 404-605-5000 | |
Prince N Martin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 678-843-7001 | |
Melissa H White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-4307 Fax: 404-616-8022 | |
John H Lloyd, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1358 Middlesex Ave Ne, Atlanta, GA 30306 Phone: 404-944-7563 |