Tara Michele Phillips, | |
3301 Cobblestone Blvd, Fayetteville, GA 30215-7312 | |
(770) 756-9924 | |
Not Available |
Full Name | Tara Michele Phillips |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3301 Cobblestone Blvd, Fayetteville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225331150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW003731 (Georgia) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
Mailing Address | Practice Location Address |
---|---|
Tara Michele Phillips, 3301 Cobblestone Blvd, Fayetteville, GA 30215-7312 Ph: (770) 756-9924 | Tara Michele Phillips, 3301 Cobblestone Blvd, Fayetteville, GA 30215-7312 Ph: (770) 756-9924 |
S. Bernard Bagley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 148 Georgia Ave E Ste C, Fayetteville, GA 30214 Phone: 404-968-4662 Fax: 404-968-4562 | |
Alphonso Mckibbins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Atkins Ln, Fayetteville, GA 30215 Phone: 678-670-5180 | |
Ms. Iris Branch Cleveland, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 715 Bradley Dr, Fayetteville, GA 30214 Phone: 770-638-5252 Fax: 770-460-2463 | |
Ms. Faith Louise May, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Chess Chase, Fayetteville, GA 30215 Phone: 770-714-6204 | |
Meghan Harbin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Lanier Ave E, Fayetteville, GA 30214 Phone: 706-372-1772 | |
Ms. Rae Sansom Coley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Lanier Ave E, Fayetteville, GA 30214 Phone: 678-884-4011 Fax: 678-263-8511 |