John G Anderson, CRNA | |
4575 N Shallowford Rd, Dunwoody, GA 30338-6445 | |
(770) 454-4286 | |
(770) 454-4065 |
Full Name | John G Anderson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4575 N Shallowford Rd, Dunwoody, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023063161 | NPI | - | NPPES |
000550569L | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN065882 (Georgia) | Primary |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
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John G Anderson, CRNA Po Box 70128, Marietta, GA 30007-0128 Ph: (770) 578-1800 | John G Anderson, CRNA 4575 N Shallowford Rd, Dunwoody, GA 30338-6445 Ph: (770) 454-4286 |
Nita M Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Vincent F Polvinale, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Lydia Mallari, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Martha Adams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Margaret Olsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Lynnette Virginia Saefke-wolc, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4827 Manget Ct, Dunwoody, GA 30338 Phone: 770-396-4704 Fax: 770-396-1576 |