CAROL DOOLEY WANNA (NPI# 1912009572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912009572 |
Entity Type | Individual |
Full Name | CAROL DOOLEY WANNA |
Credential | MD |
Practice Address |
1327 Stadium Dr Macon GA 31207-8639 |
Mailing Address |
250 Martin Luther King Jr Blvd Macon GA 31201-3490 |
Practice Telephone | 4783012382 |
Practice Fax Number | 4783012391 |
Mailing Telephone | 4783012362 |
Mailing Fax Number | 4783012272 |
Enumeration Date | 2006-09-03 |
Last Update Date | 2020-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
043812 | GA | Allopathic & Osteopathic Physicians |
Street Address |
1327 STADIUM DR |
City | MACON |
State | GA |
Zip Code | 31207-8639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306406152 | Braxton Zeigler | Specialist/Technologist | 1327 Stadium Dr, Macon, GA 31207-1302 | 2019-06-14 |
1336709187 | Alex Joseph Mccrory | Specialist/Technologist | 1327 Stadium Dr, Macon, GA 31207-1302 | 2019-06-14 |
1346654407 | John Henderson Iv | Internal Medicine | 1327 Stadium Dr, Macon, GA 31207-1302 | 2014-06-17 |
1447474184 | Lynn Taylor Denny | Family Medicine | 1327 Stadium Dr, Macon, GA 31207-5900 | 2007-04-12 |
1568561181 | William F Bina | Family Medicine | 1327 Stadium Dr, Macon, GA 31207-1302 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770004715 | Renee Boudreaux | Podiatrist | 1501 Mercer University Dr, Macon, GA 31207 | 2017-06-29 |
1316296627 | Jonathan Gustav Bulla | Student in an Organized Health Care Education/Training Program | 1550 College Street, Macon, GA 31207 | 2012-08-31 |
1366723751 | Abigail Lewis | Family Medicine | 1550 College St, Macon, GA 31207 | 2011-08-30 |
1265596589 | Elizabeth Jean Hudson-weires | Registered Nurse | 1550 College Street, Macon, GA 31207 | 2006-12-21 |
1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
1558921973 | Anna Nielsen Walker | Pathology | Mercer University School of Medicine Dept of Pathology, Macon, GA 31207-0001 | 2019-06-18 |
1770057788 | Brian Daniel Wright | Student in an Organized Health Care Education/Training Program | 1550 College Steeet, Macon, GA 31207-0001 | 2019-01-14 |
1710481049 | Sarah Nicole Telliard | Student in an Organized Health Care Education/Training Program | Mercer University School of Medicine 1550 College St, Macon, GA 31207-0001 | 2018-03-21 |
1174925416 | William Holcomb | Specialist/Technologist | 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 | 2014-09-18 |
1760665913 | Daniel John Gibbs | Specialist/Technologist | University Athletics, 1400 Coleman Ave, Macon, GA 31207-0001 | 2007-12-11 |
Find all providers in zip 31207 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477663029 | James Terrell Pope | Obstetrics & Gynecology | 1062 Forsyth St Ste 3b, Macon, GA 31201 | 2006-08-30 |
1811922156 | Central Georgia Women's Health Center, LLC | Obstetrics & Gynecology | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2006-07-12 |
1346204724 | A Taylor Coppage IIi | Obstetrics & Gynecology | 650 Coliseum Pl, Macon, GA 31217-3867 | 2006-04-13 |
1891086542 | Raimot A Olanrewaju | Obstetrics & Gynecology | 639 Hemlock St, Macon, GA 31201-6886 | 2011-04-28 |
1427260231 | Douglas E Ott | Obstetrics & Gynecology | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2007-05-04 |
1265542815 | Thomas Earl Kehl | Obstetrics & Gynecology | 1062 Forsyth St, Suite 3 B, Macon, GA 31201 | 2006-08-30 |
1538279187 | Carl Clifton Schuessler | Obstetrics & Gynecology | 1062 Forsyth St, Ste 3b, Macon, GA 31201 | 2006-08-30 |
1811007461 | John Jahu Barnes | Obstetrics & Gynecology | 1062 Forsyth St, Suite 3 B, Macon, GA 31201 | 2006-08-30 |
1023128675 | Stephen Michael Durso | Obstetrics & Gynecology | 1062 Forsyth St, Ste 3-b, Macon, GA 31201 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.