| Dr Gregory Andre Marinkovich, MD | |
|
960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | |
| (954) 692-7512 | |
| Not Available |
| Full Name | Dr Gregory Andre Marinkovich |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 960 Joe Frank Harris Pkwy Se, Cartersville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417020264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 0101246419 (Virginia) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 111611 (Georgia) | Primary |
| Entity Name | Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Andre Marinkovich, MD 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 Ph: (803) 329-1234 | Dr Gregory Andre Marinkovich, MD 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 Ph: (954) 692-7512 |
Dr. Thomas Donald Ryan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Collins Dr, Suite B, Cartersville, GA 30120 Phone: 770-607-0795 Fax: 770-607-1339 | |
Katherine Johnson Fields, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6860 Fax: 678-721-9457 | |
Dr. Jeannette Chua Cocabo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Collins Dr Ste B, Cartersville, GA 30120 Phone: 770-607-0795 Fax: 770-607-1339 | |
Tammy Watkins Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6860 Fax: 678-721-9457 | |
William R Payne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 970 Joe Frank Harris Pkwy, Ste 350, Cartersville, GA 30120 Phone: 770-386-3011 Fax: 770-386-9451 | |
Dr. Preston Heath Leonard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6860 Fax: 678-721-9457 |