Alan M Gardner (NPI# 1215048673, PAC ID# 6002834322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1215048673 |
| PAC ID by PECOS | 6002834322 |
| Professional Enrollment ID | I20101119000256 |
| Full Name | Alan M Gardner |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Address |
2550 Windy Hill Rd Se Suite 200 Marietta GA 30067-8654 |
| Phone Number | 8502333376 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9931277233 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 526 Maddox Dr, Suite 101, Ellijay, GA 30540-5566 | 8502333376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
| 2550 Windy Hill Rd Se, Suite 200, Marietta, GA 30067-8654 | 8502333376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Deselms | Physician Assistant | Southeastern Dermatology Group Pa | 2010 E Johnson Ave, Pensacola, FL 32514-6027 |
| Josh A Hammel | Dermatology | Southeastern Dermatology Group Pa | 1605 Whitesville St, Lagrange, GA 30240-5903 |
| Hannah Garnett | Nurse Practitioner | Southeastern Dermatology Group Pa | 201 A Longwood Dr Se, Huntsville, AL 35801-2742 |
| John Phillips | Dermatology | Southeastern Dermatology Group Pa | 3089 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3216 |
| Amy S West | Physician Assistant | Southeastern Dermatology Group Pa | 212 Nw Racetrack Rd, Fort Walton Beach, FL 32547-3831 |
| Rachel E Brooks | Physician Assistant | Southeastern Dermatology Group Pa | 989 Elba Hwy, Troy, AL 36079-6050 |
| Jeffrey B Stricker | Dermatology | Southeastern Dermatology Group Pa | 1474 Market St, Tallahassee, FL 32312-1768 |
| Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Garin D Barth | Dermatology | Southeastern Dermatology Group Pa | 2320 Double Churches Rd, Suite B, Columbus, GA 31909-2662 |
| Lauren E Miller | Physician Assistant | Southeastern Dermatology Group Pa | 101 Cherry St, Gadsden, AL 35901-5234 |
| Street Address |
2550 WINDY HILL RD SE SUITE 200 |
| City | MARIETTA |
| State | GA |
| Zip | 30067-8654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank W Demarino | Anesthesiology | Mak Anesthesia Holdings, LLC | 2550 Windy Hill Rd Se, Suite 218, Marietta, GA 30067-8654 |
| Aisha J Mcknight-baron | Plastic and Reconstructive Surgery | 2550 Windy Hill Rd Se, Suite 312, Marietta, GA 30067-8655 | |
| Timothy L Shelton | Physical Medicine and Rehabilitation | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8654 | |
| Sarah S Miller | Physician Assistant | Southeastern Dermatology Group Pa | 2550 Windy Hill Rd Se, Suite 200, Marietta, GA 30067-8654 |
| Jennifer Ijeoma Okeh | Nurse Practitioner | Zilmed, Inc. | 2550 Windy Hill Rd Se, Suite 309, Marietta, GA 30067-8655 |
| Farrah Patti | Nurse Practitioner | Zilmed, Inc. | 2550 Windy Hill Rd Se, Marietta, GA 30067-8655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svathi M Reddy | Psychiatry | 1640 Powers Ferry Rd, Bldg 17 Suite 100, Marietta, GA 30067-1419 | |
| Piyush C Patel | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Jason M Jian | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Olajide Fawehinmi | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Jasmine Young | Nurse Practitioner | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Joan R Funk | Clinical Social Worker | 1640 Powers Ferry, Suite 100, Marietta, GA 30067-1437 | |
| Yolanda P Bowdre | Occupational Therapy | Dove Rehab LLC | 9 Sherwood Seln, Marietta, GA 30067-4035 |
| Fatima German | Physical Therapy | Dove Rehab LLC | 9 Sherwood Seln, Marietta, GA 30067-4035 |
| Ama Browne | Nurse Practitioner | Amity Care, LLC | 161 Village Pkwy Ne, Bldg 7, Marietta, GA 30067-4061 |
| Bessie Martin-jackson | Nurse Practitioner | Amity Care, LLC | 161 Village Pkwy Ne, Bldg 7, Marietta, GA 30067-4061 |
| Find all physicians in zip 30067 | |||
| City | MARIETTA |
| Zip Code | 30067 |
| Specialty | DERMATOLOGY |
| City + Specialty | MARIETTA + DERMATOLOGY |
Please comment or provide details below to improve the information on Alan M Gardner.
| 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.