Theltonia Howard Gunn, MD | |
3950 Austell Rd, Austell, GA 30106-1121 | |
(770) 732-5570 | |
Not Available |
Full Name | Theltonia Howard Gunn |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 16 Years |
Location | 3950 Austell Rd, Austell, 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 |
---|---|---|---|
1992095418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | N7434 (Texas) | Secondary |
207P00000X | Emergency Medicine | 66186 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Cherokee | Canton, GA | Hospital |
Southern Regional Medical Center | Riverdale, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Emergency Associates, P.c. | 9335135144 | 30 |
Entity Name | Northside Emergency Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Entity Name | South Fulton Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821043787 PECOS PAC ID: 5294708715 Enrollment ID: O20040813000595 |
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 |
Entity Name | Georgia Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
Entity Name | Southern Regional Physicians Management Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483 |
Entity Name | Small Hospital Innovations |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20220404000661 |
Mailing Address | Practice Location Address |
---|---|
Theltonia Howard Gunn, MD 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 Ph: (770) 874-5468 | Theltonia Howard Gunn, MD 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-5570 |
Michelle Presley, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
Dr. Zachary Richard Wetendorf, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3886 Fax: 770-732-7280 | |
Dr. Mark P Cruz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
Dr. Craig S Brummer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
Bradley Stearns, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
Kirsten Haskelle Bendeck, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3950 Austell Road, Emergency Department, Austell, GA 30328 Phone: 770-732-4000 | |
Gerald Bortolazzo, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 |