| Beth D Kruse, MD | |
|
1700 Medical Way, Snellville, GA 30078-2195 | |
| (770) 979-0200 | |
| Not Available |
| Full Name | Beth D Kruse |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1700 Medical Way, Snellville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629054622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 020758 (Georgia) | Primary |
| Entity Name | South Gwinnett Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740232677 PECOS PAC ID: 5496710493 Enrollment ID: O20041201000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth D Kruse, MD Po Box 2993, Kennesaw, GA 30156-9170 Ph: (770) 779-2184 | Beth D Kruse, MD 1700 Medical Way, Snellville, GA 30078-2195 Ph: (770) 979-0200 |
Charlotte A Hayes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Mr. Gautam Jagoo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Arvind Sivakumaran, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 Fax: 770-736-2335 | |
Robert J Kubek, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Michael Robert Aho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 Fax: 770-736-2335 | |
Gregory S. Berkey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Dr. Shailaja R. Sappati, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 Fax: 770-736-2335 |