Mckinley Theadore Bain (NPI# 1235145061, PAC ID# 4587638291) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235145061 |
| PAC ID by PECOS | 4587638291 |
| Professional Enrollment ID | I20040827000384 |
| Full Name | Mckinley Theadore Bain |
| Address |
1930 Powder Springs Swrd Suite 1120 Marietta GA 30064-4324 |
| Gender | M |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| 110042 | WELLSTAR PAULDING HOSPITAL |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110184 | WELLSTAR DOUGLAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1930 Powder Springs Swrd, Suite 1120, Marietta, GA 30064-4324 |
| Street Address |
1930 POWDER SPRINGS SWRD SUITE 1120 |
| City | MARIETTA |
| State | GA |
| Zip | 30064-4324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Schaner Ii | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 3405 Dallas Hwy, Bldg 900, Marietta, GA 30064 |
| Jamie Murray-green | Chiropractic | 3901 Mary Eliza Trace, Suite 201, Marietta, GA 30064 | |
| Mitchell S Arnold | Chiropractic | 3894 Due W Rd Nw, Suite 210, Marietta, GA 30064-1072 | |
| Ranan Boyett Stimpson | Optometry | 3700 Largent Nw Way, Suite 200, Marietta, GA 30064-1670 | |
| Virginia L Gifford | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Robert Jason Mann | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Ashley Underwood | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Kimberlyn Johnson-ruise | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Jason D Murphy | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Kristen Michelle Waddell | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Find all physicians in zip 30064 | |||
| City | MARIETTA |
| Zip Code | 30064 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MARIETTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mckinley Theadore Bain.
| 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.