| Dr Gregory Trey Haunson, DO | |
|
148 Bill Carruth Pkwy., Suite 280, Hiram, GA 30141 | |
| (678) 363-3343 | |
| (678) 363-3380 |
| Full Name | Dr Gregory Trey Haunson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 15 Years |
| Location | 148 Bill Carruth Pkwy., Hiram, 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 |
|---|---|---|---|
| 1902111016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | UO2453 (Florida) | Secondary |
| 207N00000X | Dermatology | 71253 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metroderm, P.c. | 8729076443 | 31 |
| Entity Name | Metroderm, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205833894 PECOS PAC ID: 8729076443 Enrollment ID: O20040503000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Trey Haunson, DO 875 Johnson Ferry Rd. Ne, Suite 300, Atlanta, GA 30342 Ph: (404) 257-9933 | Dr Gregory Trey Haunson, DO 148 Bill Carruth Pkwy., Suite 280, Hiram, GA 30141 Ph: (678) 363-3343 |
Parin Pearl Rimtepathip, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Parkway, Hiram, GA 30141 Phone: 678-363-3343 Fax: 678-363-3380 | |
Rebecca Youngblood Vaughn, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 148 Bill Carruth Pkwy, Ste 280, Hiram, GA 30141 Phone: 678-363-3343 Fax: 678-363-3380 | |
Dr. Corrie Vanexel Alford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy., Suite 280, Hiram, GA 30141 Phone: 678-363-3343 Fax: 678-363-3380 |