| Christian A Ericson, MD | |
|
1150 Golden Way, Watkinsville, GA 30677-7712 | |
| (706) 612-9401 | |
| (706) 612-9420 |
| Full Name | Christian A Ericson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1150 Golden Way, Watkinsville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801459664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME147430 (Florida) | Primary |
| Entity Name | Mayo Clinic Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian A Ericson, MD 1150 Golden Way, Watkinsville, GA 30677-7712 Ph: (706) 612-9401 | Christian A Ericson, MD 1150 Golden Way, Watkinsville, GA 30677-7712 Ph: (706) 612-9401 |
Samuel Belknap, Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Catherine Schwender, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Dr. Alan Keith Carnes Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Robert Dean Clower, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Matthew Steele, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Dr. Gary Richard Walton, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 |