| Konstantin Sergeyevich Tsymbalov, DO | |
|
3459 Acworth Due West Rd Nw Ste 117, Acworth, GA 30101-5820 | |
| (678) 521-1105 | |
| (678) 909-0912 |
| Full Name | Konstantin Sergeyevich Tsymbalov |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 17 Years |
| Location | 3459 Acworth Due West Rd Nw Ste 117, Acworth, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750607586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 74411 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Entity Name | Back To Life Pain Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982172060 PECOS PAC ID: 8022354091 Enrollment ID: O20190111001524 |
| Mailing Address | Practice Location Address |
|---|---|
| Konstantin Sergeyevich Tsymbalov, DO 410 Creekstone Rdg, Woodstock, GA 30188-3740 Ph: (678) 909-0911 | Konstantin Sergeyevich Tsymbalov, DO 3459 Acworth Due West Rd Nw Ste 117, Acworth, GA 30101-5820 Ph: (678) 521-1105 |
Dr. Jessica Ann Henderson, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3450 Cobb Pkwy Nw Ste 220, Acworth, GA 30101 Phone: 770-974-1978 | |
Nicholas Bender, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4450 Calibre Xing Nw Ste 1225, Acworth, GA 30101 Phone: 770-491-5481 Fax: 770-491-5482 |