Manuel A Davila (NPI# 1760496210, PAC ID# 8022195254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1760496210 |
| PAC ID by PECOS | 8022195254 |
| Professional Enrollment ID | I20081105000675 |
| Full Name | Manuel A Davila |
| Organization Legal Name | NORTHWEST ORAL AND MAXILLOFACIAL SURGERY ASSOC. |
| Address |
55 Whitcher Nest Suite 140 Marietta GA 30060-1156 |
| Phone Number | 7704227630 |
| Gender | M |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1962 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 8426030891 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 55 Whitcher Nest, Suite 140, Marietta, GA 30060-1156 | 7704227630 | NORTHWEST ORAL AND MAXILLOFACIAL SURGERY ASSOC. |
| Organization Legal Name | NORTHWEST ORAL AND MAXILLOFACIAL SURGERY ASSOC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee C Vandewater | Oral Surgery | Northwest Oral and Maxillofacial Surgery Assoc. | 85 Golf Crest Dr, Suite 209, Acworth, GA 30101-2698 |
| Scott P Rose | Oral Surgery | Northwest Oral and Maxillofacial Surgery Assoc. | 55 Whitcher Nest, Suite 140, Marietta, GA 30060-1156 |
| Michael L Rosenthal | Maxillofacial Surgery | Northwest Oral and Maxillofacial Surgery Assoc. | 55 Whitcher Nest, Suite 140, Marietta, GA 30060-1156 |
| Neysa A Coker | Maxillofacial Surgery | Northwest Oral and Maxillofacial Surgery Assoc. | 55 Whitcher Nest, Suite 140, Marietta, GA 30060-1156 |
| Richard Kinsey | Oral Surgery | Northwest Oral and Maxillofacial Surgery Assoc. | 55 Whitcher Nest, Suite 140, Marietta, GA 30060-1156 |
| Street Address |
55 WHITCHER NEST SUITE 140 |
| City | MARIETTA |
| State | GA |
| Zip | 30060-1156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina Prata | Nurse Practitioner | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Katrice P Harris | Nurse Practitioner | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Rachel A Dyches | Nurse Practitioner | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Raquel Marie Decamp | Physician Assistant | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Sejal Jayantilal Patel | Nurse Practitioner | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Jay Trambadia | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Alan R Muster | Pulmonary Disease | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Faisal Bhutta | Pulmonary Disease | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Angelina Foley Cain | Family Medicine | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Ramin Saghafi | Pulmonary Disease | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerwanda Lavette Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 2130 Anderson Mill Rd, Marietta, GA 30060 |
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | ORAL SURGERY |
| City + Specialty | MARIETTA + ORAL SURGERY |
Please comment or provide details below to improve the information on Manuel A Davila.
| 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.