Carol Madison Glover, MD | |
750 Townpark Ln Nw, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144-5579 | |
(404) 365-0966 | |
(770) 422-2049 |
Full Name | Carol Madison Glover |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 750 Townpark Ln Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699829580 | NPI | - | NPPES |
00808948 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 028987 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Carol Madison Glover, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070 | Carol Madison Glover, MD 750 Townpark Ln Nw, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144-5579 Ph: (404) 365-0966 |
Raymon Joel Wilensky, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 Phone: 770-931-6020 Fax: 404-252-8769 | |
Candace Giles Ervin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 108, Kennesaw, GA 30152 Phone: 470-398-1771 Fax: 470-617-7350 | |
Salman Baseer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1401 Trees Of Kennesaw Parkway, Kennesaw, GA 30152 Phone: 770-794-8583 | |
Dr. Nisha Chande, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 585 Cobb Ave Nw, Kennesaw Hall Building 1; Room 2401; Md 0117, Kennesaw, GA 30144 Phone: 470-578-6600 Fax: 470-578-9102 | |
Judith M Rochon, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Department Of Behavioral Health, Kennesaw, GA 30144 Phone: 770-514-5440 Fax: 770-514-5526 | |
Dr. Yolanda Patrice Graham, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 Fax: 770-427-7882 |