| Dr David Ross Penn, MD | |
|
1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117 | |
| (770) 996-9945 | |
| Not Available |
| Full Name | Dr David Ross Penn |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 17 Years |
| Location | 1035 Southcrest Dr Ste 250, Stockbridge, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760644355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 30815 (South Carolina) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 072605 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Regional Medical Center | Riverdale, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Atlanta Vascular Institute, Llc | 7315289972 | 3 |
| Entity Name | South Atlanta Vascular Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063903078 PECOS PAC ID: 7315289972 Enrollment ID: O20190430002811 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Ross Penn, MD 860 Peachtree St Ne Unit 1902, Atlanta, GA 30308-1277 Ph: (954) 560-1177 | Dr David Ross Penn, MD 1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117 Ph: (770) 996-9945 |
Dr. Sasha Hyatt Wahab, MD, MA Radiology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-228-3737 Fax: 770-228-9334 | |
Nemil Shah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 706-077-3397 Fax: 678-905-7053 | |
Kim Vu Neisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 Hospital Dr, Stockbridge, GA 30281 Phone: 678-251-1099 | |
Steven V Manzi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-389-2200 | |
Daniel Slone, MD Radiology Medicare: Medicare Enrolled Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-607-7339 | |
Dr. David William Allison, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7402 Davidson Cir W, Stockbridge, GA 30281 Phone: 770-919-5238 | |
Dr. Charles Arthur Gilliland Iv, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-607-7339 Fax: 678-905-7053 |