Cheryl Gatewood Tolliver, MD | |
2225 Us Highway 41 N, Tifton, GA 31794-2749 | |
(229) 391-4100 | |
(229) 391-4508 |
Full Name | Cheryl Gatewood Tolliver |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2225 Us Highway 41 N, Tifton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962513515 | NPI | - | NPPES |
102002 | Other | GA | BCBS - EAPC |
752710901A | Medicaid | GA | |
37BBGMH | Other | GA | MEDICARE ID PEDIATRICS |
52002201 | Other | GA | BCBS - LMAC |
7688493 | Other | GA | AETNA |
P00051346 | Other | GA | RR MCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 053040 (Georgia) | Primary |
Entity Name | Tift Regional Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
Entity Name | Albany Area Primary Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608992 PECOS PAC ID: 7911811922 Enrollment ID: O20040217000509 |
Mailing Address | Practice Location Address |
---|---|
Cheryl Gatewood Tolliver, MD 907 E 18th Street, Suite 400, Tifton, GA 31794 Ph: (229) 353-3422 | Cheryl Gatewood Tolliver, MD 2225 Us Highway 41 N, Tifton, GA 31794-2749 Ph: (229) 391-4100 |
Mark Davis Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 12th St W, Tifton, GA 31794 Phone: 229-396-5335 Fax: 229-396-5330 | |
Dr. Qamar U Shaikh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 Phone: 229-445-3509 Fax: 229-445-3513 | |
Noreen Mian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Dr. Sharon Nackashi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Hannah Batten, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39 Kent Rd Ste 5, Tifton, GA 31794 Phone: 229-353-7337 | |
Dr. Nikkia F. Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 39 Kent Rd Ste 5, Tifton, GA 31794 Phone: 229-353-7337 Fax: 229-391-4051 | |
Dixie Dawn Griffin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 39 Kent Rd, Suite 5, Tifton, GA 31794 Phone: 229-353-7337 |