| Samuel Solomon Marks, | |
| 710 Center St, Columbus, GA 31901-1527 | |
| (706) 571-1000 | |
| Not Available | 
| Full Name | Samuel Solomon Marks | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 710 Center St, Columbus, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003501743 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN268279 (Georgia) | Primary | 
| Entity Name | Sentry Anesthesia Management, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samuel Solomon Marks, 525 Riverside Dr, Lagrange, GA 30240-9635 Ph: (678) 267-4982 | Samuel Solomon Marks, 710 Center St, Columbus, GA 31901-1527 Ph: (706) 571-1000 | 
| Terri Christine Buckner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 616 19th St, Columbus, GA 31901 Phone: 706-494-4262 | |
| Gregory Whitfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 705-596-4000 | |
| Greg Walsh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 | |
| Rachel M Sneed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 | |
| Brandon Fletcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Van Aalst Blvd, Martin Army Community Hospital, Columbus, GA 31905 Phone: 706-544-2563 | |
| Sharon S Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1374 Fax: 706-660-2686 |