| Thomas E Reeve Iii, MD | |
|
157 Clinic Ave, Suite 302, Carrollton, GA 30117-4413 | |
| (770) 834-3336 | |
| (770) 832-2136 |
| Full Name | Thomas E Reeve Iii |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| 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 |
|---|---|---|---|
| 1578547584 | NPI | - | NPPES |
| 00344539A | Medicaid | GA | |
| 271249 | Other | GA | BLUE CROSS |
| 30117A003 | Other | GA | CHAMPUS |
| AETNA | Other | GA | 5417058 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 29759 (Georgia) | Primary |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Reeve Iii, MD 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4413 Ph: (770) 834-3336 | Thomas E Reeve Iii, MD 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4413 Ph: (770) 834-3336 |
Austin J Lewis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 157 Clinic Ave Ste 302, Carrollton, GA 30117 Phone: 770-834-3336 Fax: 770-832-2331 | |
Stephen Housman Kahler, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 150 Henry Burson Ave, Suite 200, Carrollton, GA 30117 Phone: 770-834-6302 Fax: 770-834-7660 | |
David W Griffin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 157 Clinic Ave, Suite 302, Carrollton, GA 30117 Phone: 770-834-3336 Fax: 770-832-2136 | |
Dr. Scott Alvin Denham, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 157 Clinic Ave, Suite 302, Carrollton, GA 30117 Phone: 770-838-3336 Fax: 770-832-2331 | |
Dr. James Thomas Ingram, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 391 Foggy Bottom Dr, Carrollton, GA 30116 Phone: 770-836-1912 | |
Jose E Espinel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 157 Clinic Ave Ste 302, Carrollton, GA 30117 Phone: 770-834-3336 Fax: 770-832-2331 |