| Southern Gastroenterology Associates, Llc | |
|
763 Old Norcross Rd Lawrenceville GA 30045-4317 | |
| (678) 985-2000 | |
| (678) 985-1999 |
| Full Name | Southern Gastroenterology Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 763 Old Norcross Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Mark B. Kukler (OWNER) |
| Authorized Official Contact | 6789852000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Gastroenterology Associates, Llc 763 Old Norcross Rd Lawrenceville GA 30045-4317 Ph: (678) 985-2000 | Southern Gastroenterology Associates, Llc 763 Old Norcross Rd Lawrenceville GA 30045-4317 Ph: (678) 985-2000 |
| NPI Number | 1205886504 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 05/30/2012 |
| Medicare PECOS PAC ID | 8820084064 |
|---|---|
| Medicare Enrollment ID | O20040422000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205886504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Tanya M Rutledge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952350332 PECOS PAC ID: 6103805288 Enrollment ID: I20040714000756 |
| Provider Name | Robert K Wade |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114911054 PECOS PAC ID: 0143288555 Enrollment ID: I20041230000432 |
| Provider Name | Althea H Mcphail |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508826215 PECOS PAC ID: 2163587635 Enrollment ID: I20090217000277 |
| Provider Name | Scott W Schorr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275583437 PECOS PAC ID: 1658443296 Enrollment ID: I20101020000721 |
| Provider Name | Arvind A Kulkarni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548210859 PECOS PAC ID: 7911079553 Enrollment ID: I20101020001007 |
| Provider Name | Mark B Kukler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093765265 PECOS PAC ID: 6002988649 Enrollment ID: I20101027000231 |
| Provider Name | Marcelle M Owens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295785814 PECOS PAC ID: 4284706821 Enrollment ID: I20101101000910 |
| Provider Name | Amil Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952588394 PECOS PAC ID: 5193987329 Enrollment ID: I20130325000351 |
| Provider Name | Stephen Beasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568897668 PECOS PAC ID: 4789934589 Enrollment ID: I20201118002462 |
| Provider Name | Tariq I Salim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598293326 PECOS PAC ID: 2567731789 Enrollment ID: I20231122002621 |
Clinica Familiar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Grayson Hwy, Suite 216, Lawrenceville, GA 30045 Phone: 770-513-7711 Fax: 770-513-3352 | |
Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
Physicians Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 Fax: 770-277-9159 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044 Phone: 678-431-1119 | |
Sugarloaf Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4835 Sugarloaf Pkwy, Suite 300, Lawrenceville, GA 30044 Phone: 407-375-5940 Fax: 407-375-5952 |