Edward C Mack (NPI# 1245338110, PAC ID# 2961417449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1245338110 |
| PAC ID by PECOS | 2961417449 |
| Professional Enrollment ID | I20060221000205 |
| Full Name | Edward C Mack |
| Address |
2855 Candler Rd Suite 6 Decatur GA 30034-1415 |
| Phone Number | 4042410103 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| 110078 | EMORY UNIVERSITY HOSPITAL MIDTOWN |
| Address | Phone | Organization |
|---|---|---|
| 2855 Candler Rd, Suite 6, Decatur, GA 30034-1415 | 4042410103 |
| Street Address |
2855 CANDLER RD SUITE 6 |
| City | DECATUR |
| State | GA |
| Zip | 30034-1415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzette A Clements | Podiatry | 2855 Candler Rd, Suite 10, Decatur, GA 30034-1415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gege Odion | Optometry | 2851 Candler Rd, Suite 205, Decatur, GA 30034-1418 | |
| Gregory S. Smith | Family Medicine | Georgia Clinic, PC | 2496 Columbia Dr, Decatur, GA 30034-1769 |
| Barbara Norvell | Podiatry | 2575 Snapfinger Rd, Suite D, Decatur, GA 30034-2300 | |
| Cheryl Parellada | Physical Therapy | Integrated Therapy LLC | 2340 Clifton Springs Rd, Decatur, GA 30034-2910 |
| Cheri M Rourk | Physical Therapy | Integrated Therapy LLC | 2340 Clifton Springs Rd, Decatur, GA 30034-2910 |
| Debra J Cannon | Psychiatry | Department of Behavioral Health and Developmental Disabilities | 3073 Panthersville Rd, Decatur, GA 30034-3828 |
| Dustin W Hall | Psychiatry | Department of Behavioral Health and Developmental Disabilities | 3073 Panthersville Rd, Decatur, GA 30034-3828 |
| Agwu O Onuoha | Internal Medicine | Department of Behavioral Health and Developmental Disabilities | 3073 Panthersville Rd, Decatur, GA 30034-3828 |
| Thomas W Carswell Jr. | Family Medicine | Complete Medical Healthcare, Corporation | 4153 Flat Shoals Pkwy, Suite 102, Decatur, GA 30034-4106 |
| Victor Young Leslie | Pain Management | Complete Medical Healthcare, Corporation | 4153 Flat Shoals Pkwy, Suite 102, Decatur, GA 30034-4106 |
| Find all physicians in zip 30034 | |||
| City | DECATUR |
| Zip Code | 30034 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DECATUR + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Edward C Mack.
| 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.