Edwin W Nunnery Jr. (NPI# 1568467447, PAC ID# 8123019536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1568467447 |
| PAC ID by PECOS | 8123019536 |
| Professional Enrollment ID | I20040524000080 |
| Full Name | Edwin W Nunnery Jr. |
| Organization Legal Name | DEKALB PATHOLOGY PC |
| Address |
2701 N Decatur Rd Decatur GA 30033-5918 |
| Phone Number | 4045015200 |
| Gender | F |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 1254436322 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| 110076 | DEKALB MEDICAL CENTER |
| 110191 | PIEDMONT HENRY HOSPITAL |
| 110226 | DEKALB MEDICAL CENTER AT HILLANDALE |
| Address | Phone | Organization |
|---|---|---|
| 2701 N Decatur Rd, Decatur, GA 30033-5918 | 4045015200 | DEKALB PATHOLOGY PC |
| 1700 Medical Way, Snellville, GA 30078-2195 | 7709790200 | DEKALB PATHOLOGY PC |
| Organization Legal Name | DEKALB PATHOLOGY PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Marie O'brien | Pathology | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Cynthia C Lambert | Pathology | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Amy L Adams | Pathology | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Steven D Budnick | Pathology | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Tesha A Guillory | Pathology | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Gail H Walker | Pathology | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Stephanie L Wetzel | Oral Surgery | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| William F Mcneill | Pathology | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Jan C Kennedy | Pathology | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Vinay B Gowda | Pathology | Dekalb Pathology PC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Street Address |
2701 N DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip | 30033-5918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Black | Anesthesiology | American Anesthesiology Associates of Georgia LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Jonathan J Perkins | Family Medicine | Emory Medical Group, LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Heather G Ragazino | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Thomas J Glancy | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Anu Kurl | Internal Medicine | Emory Medical Group, LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| James P Thomson | Anesthesiology | American Anesthesiology Associates of Georgia LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Gary R Botstein | Rheumatology | Emory Medical Group, LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Smita Patel | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Roselyn Burton Brown | Physician Assistant | Emory Medical Group, LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Kapildev K Prasad | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 2701 N Decatur Rd, Decatur, GA 30033-5918 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Ritz | Psychologist, Clinical | 2785 Lawrenceville Hwy, Suite 108, Decatur, GA 30033 | |
| Gretchen L Gibbs | Chiropractic | 2298 Lawrenceville Hwy, Decatur, GA 30033 | |
| Margaret J Brown | Clinical Social Worker | 315 W Ponce De Leon Ave, Suite 245, Decatur, GA 30033 | |
| Susan C Litton | Psychologist, Clinical | 2944 Blackwood Rd, Decatur, GA 30033-1012 | |
| Ramsey E Jackson | Geriatric Medicine | 1647 Colebrook Cir, Decatur, GA 30033-1424 | |
| Robert Woods | Physical Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Harold Goodrum Jr. | Occupational Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Dorie Sokol | Occupational Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Bethani Walsh | Physical Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Joseph T Elder | Psychologist, Clinical | 1439 Mclendon Dr, D, Decatur, GA 30033-1841 | |
| Find all physicians in zip 30033 | |||
| City | DECATUR |
| Zip Code | 30033 |
| Specialty | PATHOLOGY |
| City + Specialty | DECATUR + PATHOLOGY |
Please comment or provide details below to improve the information on Edwin W Nunnery Jr..
| 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.