| Zwade J Marshall, MD | |
|
874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 | |
| (404) 618-0995 | |
| Not Available |
| Full Name | Zwade J Marshall |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 14 Years |
| Location | 874 Lanier Ave W Ste 250, Fayetteville, 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 |
|---|---|---|---|
| 1750671400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 262007 (Massachusetts) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 076420 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Truffles Vein Center Llc | 1355594797 | 14 |
| Regenerative Spine And Pain Specialists | 2163851528 | 2 |
| Entity Name | The Interventional Spine And Pain Management Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518012004 PECOS PAC ID: 2769483031 Enrollment ID: O20070130000066 |
| Entity Name | Concordia Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
| Entity Name | Truffles Vein Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760733448 PECOS PAC ID: 1355594797 Enrollment ID: O20130114000391 |
| Entity Name | Regenerative Spine And Pain Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578193355 PECOS PAC ID: 2163851528 Enrollment ID: O20200406001938 |
| Entity Name | Rsps Fayetteville Asc, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1750905618 PECOS PAC ID: 8628484201 Enrollment ID: O20220404002735 |
| Mailing Address | Practice Location Address |
|---|---|
| Zwade J Marshall, MD 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 Ph: (404) 618-0995 | Zwade J Marshall, MD 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 Ph: (404) 618-0995 |