Zwade J Marshall, MD | |
874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 | |
(404) 618-0995 | |
Not Available |
Full Name | Zwade J Marshall |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 13 Years |
Location | 874 Lanier Ave W Ste 250, Fayetteville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750671400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 262007 (Massachusetts) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 076420 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Suncrest Home Health | Riverdale, GA | Home health agency |
Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Truffles Vein Center Llc | 1355594797 | 10 |
Regenerative Spine And Pain Specialists | 2163851528 | 2 |
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 |
Entity Name | Concordia Anesthesiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
Entity Name | Truffles Vein Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760733448 PECOS PAC ID: 1355594797 Enrollment ID: O20130114000391 |
Entity Name | Regenerative Spine And Pain Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578193355 PECOS PAC ID: 2163851528 Enrollment ID: O20200406001938 |
Entity Name | Rsps Fayetteville Asc, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1750905618 PECOS PAC ID: 8628484201 Enrollment ID: O20220404002735 |
Mailing Address | Practice Location Address |
---|---|
Zwade J Marshall, MD 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 Ph: (404) 618-0995 | Zwade J Marshall, MD 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 Ph: (404) 618-0995 |