| Carl Gonzales Ii, MD | |
|
1301 Sigman Rd Ne, Suite 130, Conyers, GA 30012-3812 | |
| (678) 609-4927 | |
| (678) 609-4928 |
| Full Name | Carl Gonzales Ii |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 1301 Sigman Rd Ne, Conyers, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356668487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 075179 (Georgia) | Primary |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Piedmont Cardiology Of Atlanta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153 |
| Entity Name | Preferred Vascular Services Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598037822 PECOS PAC ID: 1850552142 Enrollment ID: O20120413000013 |
| Entity Name | Preferred Vascular Services Macon Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437659455 PECOS PAC ID: 6406108984 Enrollment ID: O20181010003906 |
| Entity Name | Preferred Vascular Services Northeast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780184218 PECOS PAC ID: 3577815695 Enrollment ID: O20181017002434 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Gonzales Ii, MD 1301 Sigman Rd Ne, Suite 130, Conyers, GA 30012-3812 Ph: (678) 609-4927 | Carl Gonzales Ii, MD 1301 Sigman Rd Ne, Suite 130, Conyers, GA 30012-3812 Ph: (678) 609-4927 |
Andrew S Harper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1364 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-4024 Fax: 770-761-7179 | |
Dr. Brett Walker, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012 Phone: 678-806-3330 Fax: 404-609-5300 | |
Donald Maynard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1612b Milstead Rd Ne, Conyers, GA 30012 Phone: 770-602-1292 Fax: 770-602-1296 | |
Sang Wook Lee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012 Phone: 770-922-4024 | |
George Isshak, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1372 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-4024 Fax: 770-922-8143 | |
Carol Angel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1301 Sigman Rd Ne Ste 190, Conyers, GA 30012 Phone: 678-806-3566 |