Clara Wade Truesdell (NPI# 1508854811, PAC ID# 9537160189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1508854811 |
| PAC ID by PECOS | 9537160189 |
| Professional Enrollment ID | I20110914000120 |
| Full Name | Clara Wade Truesdell |
| Address |
185 Old Peachtree Rd Nw Suwanee GA 30024-2511 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | NEPHROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| 110076 | DEKALB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 185 Old Peachtree Rd Nw, Suwanee, GA 30024-2511 |
| Street Address |
185 OLD PEACHTREE RD NW |
| City | SUWANEE |
| State | GA |
| Zip | 30024-2511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Christine Allen | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| John Yozen Shih | Family Medicine | 960 Ptree Industrial Blvd, Suwanee, GA 30024 | |
| Benjamin Laremont | Family Practice | Maternal and Family Medicine Ctr | 1630 Peachstreet Industrial Blvd A, Suwanee, GA 30024 |
| Christin Brooke Means | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Deborah T Woodward | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Sae J Kim | Physical Therapy | 1325 Satellite Nwblvd, Suite 1302, Suwanee, GA 30024 | |
| Sarah O Licht | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Christa Barefoot Nelms | Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Joshua Hasty | Chiropractic | 2615 Peachtree Pkwy, Suite 270, Suwanee, GA 30024-1050 | |
| Malcolm M Traxler Jr. | Internal Medicine | Evergreen Primary Care and Wellness PC | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Find all physicians in zip 30024 | |||
| City | SUWANEE |
| Zip Code | 30024 |
| Specialty | NEPHROLOGY |
| City + Specialty | SUWANEE + NEPHROLOGY |
Please comment or provide details below to improve the information on Clara Wade Truesdell.
| 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.