| Dr Scott Alvin Denham, MD | |
|
157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 | |
| (770) 838-3336 | |
| (770) 832-2331 |
| Full Name | Dr Scott Alvin Denham |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 157 Clinic Ave, Carrollton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184851701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 074155 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 54947 (Tennessee) | Primary |
| Entity Name | Tri-cities Regional Emergency Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Entity Name | Tri-cities Observation Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154860146 PECOS PAC ID: 3274819719 Enrollment ID: O20170417001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Alvin Denham, MD 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 838-8710 | Dr Scott Alvin Denham, MD 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 Ph: (770) 838-3336 |
Brett Wynn, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Jesse Mitchell Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Nathan Hundley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9597 | |
Michael Eckert, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Tanner Health Systems, Emergency Dept, Carrollton, GA 30117 Phone: 770-836-9666 | |
Richard Whitaker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Theodore Nicholson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Timothy Paul, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 |