| Wiley S Black, MD | |
|
2626 Parker Trl, Gainesville, GA 30506-1800 | |
| (770) 532-8608 | |
| (770) 718-1964 |
| Full Name | Wiley S Black |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2626 Parker Trl, Gainesville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386821007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 009767 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wiley S Black, MD 2626 Parker Trl, Gainesville, GA 30506-1800 Ph: (770) 532-8608 | Wiley S Black, MD 2626 Parker Trl, Gainesville, GA 30506-1800 Ph: (770) 532-8608 |
Dr. Thomas Gregory Delong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Springdale Rd, Gainesville, GA 30501 Phone: 770-534-0984 | |
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435 | |
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000 | |
Alexis Deana Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, GA 30501 Phone: 770-219-9234 | |
Derek Paul Pendarvis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 | |
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114 | |
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 |