| Dr Annie Park, DO | |
|
450 Northside Cherokee Blvd, Canton, GA 30115-8015 | |
| (770) 224-1000 | |
| (770) 224-2451 |
| Full Name | Dr Annie Park |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 450 Northside Cherokee Blvd, Canton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194165944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 079236 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 1688 (Alabama) | Secondary |
| 208M00000X | Hospitalist | 79236 (Georgia) | Primary |
| Entity Name | Young Won Kang M.d. P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447438874 PECOS PAC ID: 6002830155 Enrollment ID: O20060117000613 |
| Entity Name | Capital Healthcare Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811239627 PECOS PAC ID: 3779723309 Enrollment ID: O20190125000554 |
| Entity Name | Excelsior Healthcare Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578305199 PECOS PAC ID: 2062943483 Enrollment ID: O20241009000725 |
| Entity Name | Allcare Ga Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972080554 PECOS PAC ID: 2668907940 Enrollment ID: O20241122003140 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Annie Park, DO Po Box 2705, Huntsville, AL 35804-2705 Ph: (256) 265-3880 | Dr Annie Park, DO 450 Northside Cherokee Blvd, Canton, GA 30115-8015 Ph: (770) 224-1000 |
Drake Christian Dehoff, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 | |
Lindsey Hannah Panter, ACNP Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-2450 | |
Grant Herron Moody, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 Fax: 770-224-2451 | |
Michael Anthony Martinelli, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1388 Fax: 770-224-1386 | |
Syed Nabi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 404-851-6325 | |
Dr. Rodrigo M Mancheno, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 Fax: 770-224-2451 | |
Dr. Prashant V Patil, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 |