Tom A Anderson Jr. (NPI# 1730130634, PAC ID# 6305820283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1730130634 |
| PAC ID by PECOS | 6305820283 |
| Professional Enrollment ID | I20040617000326 |
| Full Name | Tom A Anderson Jr. |
| Organization Legal Name | COUNSELING AND PSYCHIATRY OF GWINNETT, LLC |
| Address |
2301 Henry Clower Blvd Snellville GA 30078-3152 |
| Phone Number | 7709789393 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1971 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 6709971682 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2301 Henry Clower Blvd, Snellville, GA 30078-3152 | 7709789393 | COUNSELING AND PSYCHIATRY OF GWINNETT, LLC |
| 2301 Henry Clower Blvd, A, Snellville, GA 30078-3152 | 7709789393 | COUNSELING AND PSYCHIATRY OF GWINNETT, LLC |
| Organization Legal Name | COUNSELING AND PSYCHIATRY OF GWINNETT, LLC |
| Physicians | 1 |
| Street Address |
2301 HENRY CLOWER BLVD |
| City | SNELLVILLE |
| State | GA |
| Zip | 30078-3152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan B Korbett | Psychiatry | Personal Recovery Network LLC | 2301 Henry Clower Blvd, Suite A, Snellville, GA 30078-3152 |
| Gregory W Melieste | Psychiatry | Personal Recovery Network LLC | 2301 Henry Clower Blvd, Suite A, Snellville, GA 30078-3152 |
| Priyanka Patel | Psychiatry | Personal Recovery Network LLC | 2301 Henry Clower Blvd, Suite A, Snellville, GA 30078-3152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
| Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
| Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Find all physicians in zip 30078 | |||
| City | SNELLVILLE |
| Zip Code | 30078 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | SNELLVILLE + CLINICAL PSYCHOLOGIST |
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| 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.