Miguel B Delmazo (NPI# 1598904740, PAC ID# 6800069915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1598904740 |
| PAC ID by PECOS | 6800069915 |
| Professional Enrollment ID | I20111107000483 |
| Full Name | Miguel B Delmazo |
| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Address |
3215 Mcclure Bridge Rd Duluth GA 30096-3223 |
| Phone Number | 6783126200 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2668465733 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 6783126200 | THE LONGSTREET CLINIC, PC |
| 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 | 7702975700 | THE LONGSTREET CLINIC, PC |
| 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 7707181122 | THE LONGSTREET CLINIC, PC |
| 725 Jesse Jewell Sepkwy, Suite 100, Gainesville, GA 30501-3836 | 7705353611 | THE LONGSTREET CLINIC, PC |
| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evgenia Korytnaya | Endocrinology | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 |
| Hugh Colby Cornelson | Nurse Practitioner | The Longstreet Clinic, PC | 655 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3854 |
| Erica Mcdaniel Abney | Physician Assistant | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Karl D Schultz | Neurosurgery | The Longstreet Clinic, PC | 1240 Jesse Jewell Sepkwy, Suite 300, Gainesville, GA 30501-3861 |
| Andrew B Reisman | Family Medicine | The Longstreet Clinic, PC | 4222 Fairbanks Dr, Oakwood, GA 30566-2811 |
| David A Bray | Internal Medicine | The Longstreet Clinic, PC | 541 Historic Hwy 441-n, Demorest, GA 30535 |
| Mark D Clark | Nurse Practitioner | The Longstreet Clinic, PC | 725 Jesse Jewell Sepkwy, Suite 300, Gainesville, GA 30501-3846 |
| Eileen Dalmacio Javellana | Internal Medicine | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Brandi N Monroe | Physician Assistant | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Jeanette Susan Pirkle | Nurse Practitioner | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Street Address |
3215 MCCLURE BRIDGE RD |
| City | DULUTH |
| State | GA |
| Zip | 30096-3223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ugo Bitussi | Physical Medicine and Rehabilitation | Atlanta Rehabilitation Consultants PC | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 |
| Robert Lawrence Richard | General Surgery | The Longstreet Clinic, PC | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 |
| Maria J Roca Martinez | Internal Medicine | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | |
| Emily Sineway Boyd | Physical Medicine and Rehabilitation | Atlanta Rehabilitation Consultants PC | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 |
| Hammad Aslam | Physical Medicine and Rehabilitation | Atlanta Rehabilitation Consultants PC | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 |
| Sunil Bhole | Physical Medicine and Rehabilitation | Atlanta Rehabilitation Consultants PC | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Mark Sommer | Chiropractic | 3699 Duluth Park Lane, Suite 110, Duluth, GA 30096 | |
| Janet S Waldt | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Richard Reid Maxa | Internal Medicine | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Otis Winston Clark | Physical Therapy | Pt Solutions of Acworth LLC | 3455 Peachtree Indus Blvd, Suite 130, Duluth, GA 30096 |
| Cori Folkes Harrell | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Benigno B Bobon | Internal Medicine | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Joel Kent Phillips | Physician Assistant | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Sherry E Johnson | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Danielle R Mcgee | Physical Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Laura E Lashley | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Find all physicians in zip 30096 | |||
| City | DULUTH |
| Zip Code | 30096 |
| Specialty | GENERAL SURGERY |
| City + Specialty | DULUTH + GENERAL SURGERY |
Please comment or provide details below to improve the information on Miguel B Delmazo.
| 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.