| Maurice Alexander Asouzu, MD | |
|
725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | |
| (770) 536-2323 | |
| (770) 536-4947 |
| Full Name | Maurice Alexander Asouzu |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 725 Jesse Jewell Pkwy Se, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972063394 | NPI | - | NPPES |
| 003278422 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 100083 (Georgia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Georgia) | Secondary |
| Entity Name | The Longstreet Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice Alexander Asouzu, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 533-6511 | Maurice Alexander Asouzu, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 536-2323 |
Dr. Thomas Gregory Delong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Springdale Rd, Gainesville, GA 30501 Phone: 770-534-0984 | |
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435 | |
Mary Hannah Read, MD Surgery Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-533-6523 | |
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000 | |
Derek Paul Pendarvis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 | |
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114 | |
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 |