Stephen M Squires, MD | |
111 Davis Rd, Martinez, GA 30907-2383 | |
(706) 432-9285 | |
(706) 432-9674 |
Full Name | Stephen M Squires |
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Gender | Male |
Speciality | Dermatology |
Location | 111 Davis Rd, Martinez, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346476199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 74375 (Georgia) | Secondary |
207N00000X | Dermatology | 74375 (Georgia) | Primary |
Entity Name | Prosynergy Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205518875 PECOS PAC ID: 3971966938 Enrollment ID: O20230824001212 |
Mailing Address | Practice Location Address |
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Stephen M Squires, MD 111 Davis Rd, Martinez, GA 30907-2383 Ph: (706) 432-9285 | Stephen M Squires, MD 111 Davis Rd, Martinez, GA 30907-2383 Ph: (706) 432-9285 |
Dr. Allison Rogers Paine, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 575 Furys Ferry Rd, Martinez, GA 30907 Phone: 706-691-7079 Fax: 706-364-0416 | |
Dr. Anna Katherine Wiggins Duckworth, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 575 Furys Ferry Rd, Martinez, GA 30907 Phone: 706-691-7079 Fax: 706-364-0416 |