Sean Macko, | |
80 Seven Hills Blvd Ste 107, Dallas, GA 30132-0575 | |
(678) 402-0515 | |
Not Available |
Full Name | Sean Macko |
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Gender | Male |
Speciality | Physical Therapist |
Location | 80 Seven Hills Blvd Ste 107, Dallas, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811470545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT013669 (Georgia) | Primary |
Provider Name | Sports Medicine South Of Gwinnett Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265053110 PECOS PAC ID: 9335566967 Enrollment ID: O20200827003433 |
Mailing Address | Practice Location Address |
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Sean Macko, Po Box 724557, Atlanta, GA 31139-1557 Ph: () - | Sean Macko, 80 Seven Hills Blvd Ste 107, Dallas, GA 30132-0575 Ph: (678) 402-0515 |
Dr. Stayce Van Gorp, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Cornelia Ct, Dallas, GA 30157 Phone: 770-713-2526 | |
Megan Laudel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 Fax: 770-505-3595 | |
Dr. Rachel Spencer, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Hillside Trace, Dallas, GA 30157 Phone: 770-635-1780 | |
Caroline Clark, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132 Phone: 678-402-0515 Fax: 678-909-0673 | |
Heather Pasley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 168 North Johnston St, Suite 104, Dallas, GA 30132 Phone: 770-443-9672 Fax: 770-505-3595 | |
Robert Charles Mcfarland, PT, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 290 Merchants Sq Ste C, Dallas, GA 30132 Phone: 678-401-2303 Fax: 678-967-3156 | |
Mrs. Laura Schell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Evans Mill Dr Ste 206, Dallas, GA 30157 Phone: 678-909-9278 Fax: 833-264-6634 |