| Dr Thomas Lewis Sistrunk, MD | |
|
705 Dixie St, Carrollton, GA 30117-3818 | |
| (770) 836-9660 | |
| (770) 812-5028 |
| Full Name | Dr Thomas Lewis Sistrunk |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 705 Dixie St, Carrollton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063486843 | NPI | - | NPPES |
| 000229567B | Medicaid | GA | |
| 028143 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 019424 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Lewis Sistrunk, MD 119 Maple St, Suite 205, Carrollton, GA 30117-3230 Ph: (770) 831-0751 | Dr Thomas Lewis Sistrunk, MD 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 836-9660 |
Jason Chase Sanders Ii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 165 Clinic Ave, Carrollton, GA 30117 Phone: 770-836-9824 Fax: 770-836-9850 | |
Alexandre Morin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 119 Maple St, Suite 205, Carrollton, GA 30117 Phone: 770-834-0751 Fax: 770-834-0753 | |
Dr. Robert S Hyslop, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie Street, Carrollton, GA 30117 Phone: 770-834-0751 Fax: 770-834-0753 | |
Michael S Pont, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie Street, Carrollton, GA 30117 Phone: 770-834-0751 Fax: 770-834-0753 | |
Dr. Anil A Dhople, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 165 Clinic Ave, Carrollton, GA 30117 Phone: 770-836-9824 Fax: 770-836-9850 | |
Brian D. Weber, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie Street, Carrollton, GA 30117 Phone: 770-834-0751 Fax: 770-834-0753 |