Andrew Wallingford, AAC | |
743 Spring St Ne, Gainesville, GA 30501-3715 | |
(770) 532-7179 | |
(770) 534-1312 |
Full Name | Andrew Wallingford |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 743 Spring St Ne, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689045536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 007779 (Georgia) | Primary |
Entity Name | North Atlanta Anesthesia Professionals, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
Mailing Address | Practice Location Address |
---|---|
Andrew Wallingford, AAC Po Box 1076, Gainesville, GA 30503-1076 Ph: (770) 532-7179 | Andrew Wallingford, AAC 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 532-7179 |
Amelia Jo Wiggins, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 | |
Haley Gibson, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 | |
Andrew Bryant, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 | |
Kaitlin Byrd, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-532-7179 | |
John Tavis Mclean, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 | |
Jeffrey Walker, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 | |
Jesson Bateman, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 |