| Dr Jordan H Weitzner, MD | |
|
2020 Cumming Hwy Ste 102, Canton, GA 30115-8071 | |
| (678) 593-1295 | |
| (678) 593-1294 |
| Full Name | Dr Jordan H Weitzner |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 2020 Cumming Hwy Ste 102, 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 |
|---|---|---|---|
| 1992026140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 070003 (Georgia) | Secondary |
| 208000000X | Pediatrics | 4241 (Georgia) | Secondary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 070003 (Georgia) | Primary |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Aga, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan H Weitzner, MD 2020 Cumming Hwy Ste 102, Canton, GA 30115-8071 Ph: (678) 593-1295 | Dr Jordan H Weitzner, MD 2020 Cumming Hwy Ste 102, Canton, GA 30115-8071 Ph: (678) 593-1295 |
Dr. Vicki D Knight-mathis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2920 Marietta Hwy, Suite 142, Canton, GA 30114 Phone: 770-704-0057 Fax: 770-704-0223 | |
Aaron Robert Millage, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-720-5100 | |
Jonathan Arthur Cheek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Riverstone Terrace, Suite 103, Canton, GA 30114 Phone: 770-479-1985 Fax: 770-479-4839 | |
Dr. Michael George Anderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 391 East Main Street, Historic Hawkins Building, Canton, GA 30114 Phone: 770-720-6963 Fax: 770-720-6965 | |
Nicholas Kelly, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 Phone: 404-785-5437 Fax: 404-785-4683 | |
Anthony David Wahbeh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 Phone: 404-785-5437 Fax: 404-785-4683 | |
Dr. Enid Colon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 Waleska Rd Ste 1c, Canton, GA 30114 Phone: 770-345-0055 Fax: 770-345-0020 |