| Michael Timothy Mccormick, | |
|
3950 Austell Rd, Austell, GA 30106-1121 | |
| (770) 732-5000 | |
| Not Available |
| Full Name | Michael Timothy Mccormick |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 3950 Austell Rd, Austell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942468178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (Georgia) | Primary |
| Entity Name | North Fulton Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467445262 PECOS PAC ID: 7113914466 Enrollment ID: O20040428000839 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Timothy Mccormick, 5665 New Northside Dr Nw Ste 320, Atlanta, GA 30328-5834 Ph: (770) 874-5400 | Michael Timothy Mccormick, 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-5000 |
Maggi Stuart Markwell, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
Bhavik Dhyanesh Mehta, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1483 Devon Mill Way, Austell, GA 30168 Phone: 404-660-7646 | |
Reza H Mohammad, PAAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Road, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Ms. Whitney Ashlyn Wright, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-5570 | |
Ariana Lyons, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-4000 | |
Mbuomda Nasah Lima, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Elizabeth Jean Stubbs, AA-C Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 |