| T Douglas Gurley Md Llc | |
|
659 Auburn Ave Ne Suite 156 Atlanta GA 30312-5412 | |
| (404) 888-0228 | |
| (404) 888-0552 |
| Full Name | T Douglas Gurley Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 659 Auburn Ave Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Thomas Douglas Gurley (OWNER) |
| Authorized Official Contact | 4048880228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T Douglas Gurley Md Llc 659 Auburn Ave Ne Suite 156 Atlanta GA 30312-5412 Ph: (404) 888-0228 | T Douglas Gurley Md Llc 659 Auburn Ave Ne Suite 156 Atlanta GA 30312-5412 Ph: (404) 888-0228 |
| NPI Number | 1245340835 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/02/2020 |
| Medicare PECOS PAC ID | 8022097831 |
|---|---|
| Medicare Enrollment ID | O20040715000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245340835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 041817 (Georgia) | Primary |
| Provider Name | Thomas D Gurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326224635 PECOS PAC ID: 8224017041 Enrollment ID: I20040716000230 |
| Provider Name | Ahmed M Moussa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194989285 PECOS PAC ID: 3072796960 Enrollment ID: I20130918000234 |
| Provider Name | Duane Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225568579 PECOS PAC ID: 6204192610 Enrollment ID: I20171116003102 |
| Provider Name | Rodrick Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134507171 PECOS PAC ID: 4284949363 Enrollment ID: I20200625001261 |
| Provider Name | Nicholas Chamberlain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902260045 PECOS PAC ID: 4587959879 Enrollment ID: I20210811003041 |
| Provider Name | Wimberly C Dayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104429281 PECOS PAC ID: 4688036494 Enrollment ID: I20230810002984 |
| Provider Name | Carolina Moreira Sarmiento |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326691064 PECOS PAC ID: 6901348366 Enrollment ID: I20240613000261 |
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