David Mclean Dubose (NPI# 1912087800, PAC ID# 8820283914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1912087800 |
| PAC ID by PECOS | 8820283914 |
| Professional Enrollment ID | I20101115001081 |
| Full Name | David Mclean Dubose |
| Organization Legal Name | MOUNT VERNON PREMIER CARE, LLC |
| Address |
1100 Johnson Ferry Nerd Suite 190 Sandy Springs GA 30342-1733 |
| Phone Number | 4044199970 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5294902318 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| Address | Phone | Organization |
|---|---|---|
| 1100 Johnson Ferry Nerd, Suite 190, Sandy Springs, GA 30342-1733 | 4044199970 | MOUNT VERNON PREMIER CARE, LLC |
| Organization Legal Name | MOUNT VERNON PREMIER CARE, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gladstone Arnold Sellers | Internal Medicine | Mount Vernon Premier Care, LLC | 1100 Johnson Ferry Nerd, Suite 190, Sandy Springs, GA 30342-1733 |
| Street Address |
1100 JOHNSON FERRY NERD SUITE 190 |
| City | SANDY SPRINGS |
| State | GA |
| Zip | 30342-1733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gladstone Arnold Sellers | Internal Medicine | Mount Vernon Premier Care, LLC | 1100 Johnson Ferry Nerd, Suite 190, Sandy Springs, GA 30342-1733 |
| Rodolfo E Bordoni | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 1100 Johnson Ferry Nerd, Suite 600, Sandy Springs, GA 30342-1739 |
| Gregory Dongkyu Lee | Ophthalmology | Georgia Retina, PC | 1100 Johnson Ferry Nerd, Suite 593, Atlanta, GA 30342-1733 |
| Howard J Sullivan | Anesthesiology Assistant | Ambulatory Anesthesia Alliance of Ga LLC | 1100 Johnson Ferry Nerd, Suite 593, Atlanta, GA 30342-1733 |
| Nicol P Morsby | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 1100 Johnson Ferry Nerd, Suite 600, Sandy Springs, GA 30342-1739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry T Todd | Anesthesiology | Mak Anesthesia Holdings, LLC | 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 |
| Nelson Enrique Castillo | Plastic and Reconstructive Surgery | 5445 Meridian Mark Rd Ne, Suite 395, Sandy Springs, GA 30342 | |
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Stephen Kraus | Emergency Medicine | Dermatology Associates of Atlanta | 5555 Peachtree Dnwdy Rd, Suite 190, Atlanta, GA 30342 |
| Charles F Peebles | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Perry H Julien | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Amanda Elizabeth Williams | Psychiatry | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Daniel J Wachtel | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1377 | |
| James A Purvis | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Viviana L Mahoney | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Find all physicians in zip 30342 | |||
| City | SANDY SPRINGS |
| Zip Code | 30342 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SANDY SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David Mclean Dubose.
| 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.