Manolo S Gallego (NPI# 1275520793, PAC ID# 1850345463) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1275520793 |
| PAC ID by PECOS | 1850345463 |
| Professional Enrollment ID | I20050308000020 |
| Full Name | Manolo S Gallego |
| Organization Legal Name | NORTH GEORGIA KIDNEY SPECIALISTS, LLC |
| Address |
880 Canton Rd Ne Suite 400 Marietta GA 30060-7276 |
| Phone Number | 7705289788 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921044660 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110030 | CARTERSVILLE MEDICAL CENTER |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110054 | FLOYD MEDICAL CENTER |
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| 111330 | POLK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 880 Canton Rd Ne, Suite 400, Marietta, GA 30060-7276 | 7705289788 | NORTH GEORGIA KIDNEY SPECIALISTS, LLC |
| Organization Legal Name | NORTH GEORGIA KIDNEY SPECIALISTS, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salvatore Chillemi | Nephrology | North Georgia Kidney Specialists, LLC | 880 Canton Rd Ne, Suite 400, Marietta, GA 30060-7276 |
| Street Address |
880 CANTON RD NE SUITE 400 |
| City | MARIETTA |
| State | GA |
| Zip | 30060-7276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salvatore Chillemi | Nephrology | North Georgia Kidney Specialists, LLC | 880 Canton Rd Ne, Suite 400, Marietta, GA 30060-7276 |
| Herbert L Silver | Physical Therapy | Athletic Spine Rehabilitation, LLC | 880 Canton Rd Ne, Suite 100, Marietta, GA 30060-7283 |
| Luisa F Gonzalez | Physical Therapy | Athletic Spine Rehabilitation, LLC | 880 Canton Rd Ne, Suite 100, Marietta, GA 30060-7283 |
| Brianna Lauren Levy | Physical Therapy | Athletic Spine Rehabilitation, LLC | 880 Canton Rd Ne, Suite 100, Marietta, GA 30060-7283 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerwanda Lavette Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 2130 Anderson Mill Rd, Marietta, GA 30060 |
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | NEPHROLOGY |
| City + Specialty | MARIETTA + NEPHROLOGY |
Please comment or provide details below to improve the information on Manolo S Gallego.
| 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.