Dusty W Large (NPI# 1396016648, PAC ID# 0143487785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1396016648 |
| PAC ID by PECOS | 0143487785 |
| Professional Enrollment ID | I20120208001055 |
| Full Name | Dusty W Large |
| Address |
3040 Riverside Dr Suite B3 Macon GA 31210-0470 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 3040 Riverside Dr, Suite B3, Macon, GA 31210-0470 |
| Street Address |
3040 RIVERSIDE DR SUITE B3 |
| City | MACON |
| State | GA |
| Zip | 31210-0470 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya Lentz | Clinical Social Worker | 3040 Riverside Dr, Suite 109, Columbus, OH 43221-2583 | |
| Stephanie Christene Tobin | Clinical Social Worker | 3040 Riverside Dr, Suite 202, Columbus, OH 43221-2550 | |
| William P Panning | Clinical Social Worker | 3040 Riverside Dr, Suite 202, Columbus, OH 43221-2550 | |
| Marcia S Essig | Clinical Social Worker | 3040 Riverside Dr, Suite 109, Columbus, OH 43221-2583 | |
| Leslie E Gagne | Clinical Social Worker | 3040 Riverside Dr, Suite 120, Columbus, OH 43221-2550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Hutchings | Family Medicine | Hutchings Health Care | 3096 Riverside Dr, Suite D, Macon, GA 31210-0420 |
| Billie L Jackson | Dermatology | 440 Charter Blvd, Ste. 2201, Macon, GA 31210-0706 | |
| Hyunji Choi | Dermatology | Dermatology Affiliates LLC | 440 Charter Blvd, Suite 2201, Macon, GA 31210-0706 |
| Valerie Jones-freeman | Internal Medicine | 420 Charter Blvd, Suite 306, Macon, GA 31210-0715 | |
| Joseph J Burnette | General Surgery | 420 Charter Blvd, Suite 302, Macon, GA 31210-0720 | |
| Laurie G Johnson | Nurse Practitioner | Peter O. Holliday IIi, Md, PC | 420 Charter Blvd, Suite 402, Macon, GA 31210-0722 |
| Pamela Onderko | Podiatry | 5223 Riverside Dr, Suite 104, Macon, GA 31210-0889 | |
| William J Woods | Internal Medicine | 220 N Macon St, Macon, GA 31210-1111 | |
| Torrence T Drakeford | Nurse Practitioner | Navicare LLC | 4795 Riverside Dr, Macon, GA 31210-1115 |
| Shamita M Williams | Family Practice | Navicare LLC | 4795 Riverside Dr, Macon, GA 31210-1115 |
| Find all physicians in zip 31210 | |||
| City | MACON |
| Zip Code | 31210 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MACON + CHIROPRACTIC |
Please comment or provide details below to improve the information on Dusty W Large.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.