Mary Jean East (NPI# 1225091341, PAC ID# 8820124431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1225091341 |
PAC ID by PECOS | 8820124431 |
Professional Enrollment ID | I20100407000063 |
Full Name | Mary Jean East |
Address |
539 Hardee St Dallas GA 30132-4711 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110042 | WELLSTAR PAULDING HOSPITAL |
110143 | WELLSTAR COBB HOSPITAL |
Address | Phone | Organization |
---|---|---|
539 Hardee St, Dallas, GA 30132-4711 |
Street Address |
539 HARDEE ST |
City | DALLAS |
State | GA |
Zip | 30132-4711 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly Crystle Vazquez | Optometry | Huffman Family Eye Care PC | 80 Seven Hills Blvd, Bldg 200, Dallas, GA 30132-0544 |
Peter Ck Huffman | Optometry | Huffman Family Eye Care PC | 80 Seven Hills Blvd, Bldg 200, Dallas, GA 30132-0544 |
Sean Gardon | Physical Therapy | Pt Solutions of Acworth LLC | 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132-0574 |
Stephanie Ross | Physical Therapy | Pt Solutions of Acworth LLC | 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132-0574 |
Amanda Ramon | Physical Therapy | Pt Solutions of Acworth LLC | 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132-0574 |
Dallas Roberts | Physical Therapy | Pt Solutions of Acworth LLC | 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132-0574 |
Emily Louise Rand | Physical Therapy | Drayer Physical Therapy Georgia, LLC | 290 Merchants Sq, Suite C, Dallas, GA 30132-0930 |
Cleaveland J Teal | Chiropractic | 431 W Memorial Dr, Dallas, GA 30132-1394 | |
Curtis Cheeks Jr. | Family Medicine | 51 Seven Hills Blvd, Suite 102, Dallas, GA 30132-2449 | |
Edgar L Wollam | Nephrology | Cobb Nephrology Hypertension Associates, PC | 4019 Johns Rd, Dallas, GA 30132-3420 |
Find all physicians in zip 30132 |
City | DALLAS |
Zip Code | 30132 |
Specialty | FAMILY MEDICINE |
City + Specialty | DALLAS + FAMILY MEDICINE |
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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.