Dr Lataura Atwell-small, MD | |
144 Bill Carruth Pkwy Ste 2200, Hiram, GA 30141-3827 | |
(470) 956-4250 | |
(770) 999-2761 |
Full Name | Dr Lataura Atwell-small |
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Gender | Female |
Speciality | Family Medicine |
Location | 144 Bill Carruth Pkwy Ste 2200, Hiram, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033474184 | NPI | - | NPPES |
006339100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME111325 (Florida) | Secondary |
207Q00000X | Family Medicine | 96679 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Lataura Atwell-small, MD 144 Bill Carruth Pkwy Ste 2200, Hiram, GA 30141-3827 Ph: (470) 956-4250 | Dr Lataura Atwell-small, MD 144 Bill Carruth Pkwy Ste 2200, Hiram, GA 30141-3827 Ph: (470) 956-4250 |
Dr. Carl Goolsby Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy, Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209 | |
Mr. Terry Newton Langford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1899 Lake Rd, Suite 212, Hiram, GA 30141 Phone: 770-222-5488 Fax: 770-222-5491 | |
Dr. Brandon Washington, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-793-7899 Fax: 770-793-7856 | |
Dr. Kerry Nagel, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3827 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-222-8900 Fax: 770-222-2757 | |
Dr. Roderick Rhyant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209 | |
Mrs. Candace M. Walker, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5610 Wendy Bagwell Pkwy, Hiram, GA 30141 Phone: 770-943-7808 Fax: 770-943-7805 |