Dr Michael Andrew Wilshire, MD | |
157 Clinic Ave Ste 301, Carrollton, GA 30117-4454 | |
(770) 812-3631 | |
(770) 812-3371 |
Full Name | Dr Michael Andrew Wilshire |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 157 Clinic Ave Ste 301, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548732878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 99380 (Georgia) | Primary |
Entity Name | Tanner Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
Mailing Address | Practice Location Address |
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Dr Michael Andrew Wilshire, MD 100 Greenway Blvd Fl 2, Carrollton, GA 30117-4338 Ph: (770) 838-8710 | Dr Michael Andrew Wilshire, MD 157 Clinic Ave Ste 301, Carrollton, GA 30117-4454 Ph: (770) 812-3631 |
Dr. David P. Hartley, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 106 E Center St, Carrollton, GA 30117 Phone: 770-830-6006 | |
Jithender Reddy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 523 Dixie St, Suite 3, Carrollton, GA 30117 Phone: 770-456-3722 Fax: 770-456-3785 | |
Robert K Naguszewski, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 905 Dixie St, Carrollton, GA 30117 Phone: 770-812-5831 Fax: 770-812-5832 | |
Stephen Christopher Dudley, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, 303, Carrollton, GA 30117 Phone: 770-812-5793 Fax: 880-812-5784 | |
Sherry Gwyn Taylor Akers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Pl Ste 303, Carrollton, GA 30117 Phone: 770-812-5783 Fax: 770-812-5784 | |
Dr. Richard John Mikilitus Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 524 Dixie St, Carrollton, GA 30117 Phone: 770-832-2775 Fax: 770-832-9529 |