| Hunter Comer Lively, DO | |
|
1700 Medical Way, Snellville, GA 30078-2195 | |
| (770) 979-0200 | |
| Not Available |
| Full Name | Hunter Comer Lively |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1700 Medical Way, Snellville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316523731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 98086 (Georgia) | Primary |
| Entity Name | Georgia Emergency Department Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508886912 PECOS PAC ID: 5597751032 Enrollment ID: O20040517001016 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | South Georgia Emergency Medicine Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386903649 PECOS PAC ID: 4880850775 Enrollment ID: O20120720000457 |
| Mailing Address | Practice Location Address |
|---|---|
| Hunter Comer Lively, DO 1700 Medical Way, Snellville, GA 30078-2195 Ph: (770) 979-0200 | Hunter Comer Lively, DO 1700 Medical Way, Snellville, GA 30078-2195 Ph: (770) 979-0200 |
Dr. Christopher Michael Greenland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Matthew Jay Goldstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Eastside Medical Center, Snellville, GA 30278 Phone: 770-736-2376 Fax: 770-736-2379 | |
Michael Austin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3020 Highway 124, Snellville, GA 30039 Phone: 770-476-3636 Fax: 770-978-8580 | |
Alexander John Andriuk, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Eastside Medical Center, Snellville, GA 30278 Phone: 770-736-2376 Fax: 770-736-2379 | |
Daniel Adam Jaul, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1700 Medical Way, Eastside Medical Center, Snellville, GA 30278 Phone: 770-736-2376 Fax: 770-736-2379 | |
Erik Edward Grodus, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 |