Fady S Wanna (NPI# 1861471096, PAC ID# 2769433622) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1861471096 |
| PAC ID by PECOS | 2769433622 |
| Professional Enrollment ID | I20080512000226 |
| Full Name | Fady S Wanna |
| Address |
688 Walnut St Suite 102 Macon GA 31201-0329 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | THORACIC SURGERY |
| Secondary Specialties | CARDIAC SURGERY, VASCULAR SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| 110125 | FAIRVIEW PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 688 Walnut St, Suite 102, Macon, GA 31201-0329 |
| Street Address |
688 WALNUT ST SUITE 102 |
| City | MACON |
| State | GA |
| Zip | 31201-0329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kuo L Lee | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Pankaj T Patel | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Felicity A Quansah | Ophthalmology | 1870 Hardeman Ave, Macon, GA 31201-1161 | |
| M Gary Carter | Ophthalmology | 1867 Forsyth St, Macon, GA 31201-1166 | |
| Conrad N Miller | Family Medicine | 1818 Forsyth St, Suite 200, Macon, GA 31201-1170 | |
| Andrew Hall | Occupational Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Emily C Kell | Physical Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Steven A Kelham | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Brandon D Cantrell | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Bridget M Wright | Rheumatology | Heart of Georgia Rheumatology LLC | 1508 A Hardeman Ave, Macon, GA 31201-1471 |
| Find all physicians in zip 31201 | |||
| City | MACON |
| Zip Code | 31201 |
| Specialty | THORACIC SURGERY |
| City + Specialty | MACON + THORACIC SURGERY |
Please comment or provide details below to improve the information on Fady S Wanna.
| 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.