Derrell W Anglyn Jr. (NPI# 1952472375, PAC ID# 5092864017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952472375 |
| PAC ID by PECOS | 5092864017 |
| Professional Enrollment ID | I20100916000878 |
| Full Name | Derrell W Anglyn Jr. |
| Organization Legal Name | ANGLYN FAMILY MEDICAL CENTER, LLC |
| Address |
55 Sims St Mcdonough GA 30253-2320 |
| Phone Number | 7709573922 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8921157942 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110191 | PIEDMONT HENRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 55 Sims St, Mcdonough, GA 30253-2320 | 7709573922 | ANGLYN FAMILY MEDICAL CENTER, LLC |
| Organization Legal Name | ANGLYN FAMILY MEDICAL CENTER, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Anglyn | Family Medicine | Anglyn Family Medical Center, LLC | 55 Sims St, Mcdonough, GA 30253-2320 |
| Street Address |
55 SIMS ST |
| City | MCDONOUGH |
| State | GA |
| Zip | 30253-2320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Anglyn | Family Medicine | Anglyn Family Medical Center, LLC | 55 Sims St, Mcdonough, GA 30253-2320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan B Imes Jr. | Physician Assistant | Family Medical and Urgent Care Center of Mcdonough, LLC | 1631 Hwy 20 W, Mcdonough, GA 30253 |
| Ricardo Akstein | Ophthalmology | 102 Atlanta St, Mcdonough, GA 30253-2161 | |
| Humberto C Fallas | Optometry | 69 Griffin St, Mcdonough, GA 30253-3138 | |
| William H Vanlaar | General Practice | 68 Hampton St, Mcdonough, GA 30253-3150 | |
| Galen B Hoover | Chiropractic | Spine Care Chiropractic Center PC | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 |
| Jason R Hoover | Chiropractic | Spine Care Chiropractic Center PC | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 |
| Collin James Rodgers | Chiropractic | Spine Care Chiropractic Center PC | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 |
| James E Adams | Optometry | 183 Keys Ferry St, Suite A, Mcdonough, GA 30253-3232 | |
| Kristina Coles | Clinical Social Worker | 66 S Zack Hinton Pkwy, Mcdonough, GA 30253-3338 | |
| Richard E Paul | Oral Surgery | 2340 Patrick Henry Pkwy, Suite 100, Mcdonough, GA 30253-4216 | |
| Find all physicians in zip 30253 | |||
| City | MCDONOUGH |
| Zip Code | 30253 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MCDONOUGH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Derrell W Anglyn Jr..
| 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.