| Dr Nnenna Ezeilo, MD | |
|
215 Riverstone Dr, Canton, GA 30114-5256 | |
| (770) 345-6600 | |
| (770) 345-6611 |
| Full Name | Dr Nnenna Ezeilo |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 12 Years |
| Location | 215 Riverstone Dr, Canton, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528473881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 81418 (Georgia) | Primary |
| 207Y00000X | Otolaryngology | 125.064900 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ear, Nose, And Throat Specialist- Cherokee Sinus Center | 9133100597 | 10 |
| Entity Name | Ear, Nose, & Throat Specialist- Cherokee Sinus Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154445930 PECOS PAC ID: 9133100597 Enrollment ID: O20040601000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nnenna Ezeilo, MD 215 Riverstone Dr, Canton, GA 30114-5256 Ph: (770) 345-6600 | Dr Nnenna Ezeilo, MD 215 Riverstone Dr, Canton, GA 30114-5256 Ph: (770) 345-6600 |
Eric Weinman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 460 Northside Cherokee Blvd, Canton, GA 30115 Phone: 678-786-7430 Fax: 678-786-7431 | |
Dr. Ronald A Van Tuyl Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 215 Riverstone Dr, Canton, GA 30114 Phone: 770-345-6600 Fax: 770-345-6611 | |
Dr. James Courtney French Jr., M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115 Phone: 678-786-7430 Fax: 678-786-7431 |