Konstantin S Tsymbalov


Address: 3459 Acworth Due W Rd Nw, Acworth, GA 30101

Konstantin S Tsymbalov (NPI# 1750607586, PAC ID# 4981822525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.

Physician Overview

Nation Provider ID (NPI) 1750607586
PAC ID by PECOS 4981822525
Professional Enrollment ID I20151111000440
Full Name Konstantin S Tsymbalov
Address 3459 Acworth Due W Rd Nw
Acworth
GA 30101
Gender M
Graduation Year 2009
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Secondary Specialties INTERVENTIONAL PAIN MANAGEMENT
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110035 WELLSTAR KENNESTONE HOSPITAL

Other Locations

Address Phone Organization
3459 Acworth Due W Rd Nw, Acworth, GA 30101
619 Pointe N Blvd, Albany, GA 31721-0407 2298834707 ALBANY BONE AND JOINT CLINIC, P.C.

Organization Information

Office Location

Street Address 3459 ACWORTH DUE W RD NW
City ACWORTH
State GA
Zip 30101

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Ebon A Bourne Internal Medicine Wellstar Medical Group, LLC 4550 Cobb Pkwy Nw, Acworth, GA 30101
John N Murimi Family Medicine Wellstar Medical Group, LLC 4550 Cobb Pkwy Nw, Acworth, GA 30101
Milicent Young Internal Medicine Wellstar Medical Group, LLC 4550 Cobb Pkwy Nw, Acworth, GA 30101
Shayan Greg Zafrani Family Medicine Wellstar Medical Group, LLC 4550 Cobb Pkwy Nw, Suite 101, Acworth, GA 30101
Carey Dobbins Sood Obstetrics/gynecology Wellstar Medical Group, LLC 4550 Cobb Pkwy Nw, Acworth, GA 30101
Maureen Ann Lamm Family Medicine Wellstar Medical Group, LLC 4550 Cobb Pkwy Nw, Suite 101, Acworth, GA 30101
Bhumika J Banugaria Nurse Practitioner Wellstar Medical Group, LLC 4550 Cobb Pkwy Nw, Acworth, GA 30101
Stephanie Marie Walters Nurse Practitioner Wellstar Medical Group, LLC 4550 Cobb Pkwy Nw, Suite 101, Acworth, GA 30101
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Competitor

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City ACWORTH
Zip Code 30101
Specialty PHYSICAL MEDICINE AND REHABILITATION
City + Specialty ACWORTH + PHYSICAL MEDICINE AND REHABILITATION

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Dataset Information

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.

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