Dr Ronnika C Harley, MD | |
1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | |
(770) 819-9262 | |
(770) 819-1435 |
Full Name | Dr Ronnika C Harley |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1810 Mulkey Rd, Austell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508987793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 060848 (Georgia) | Primary |
208000000X | Pediatrics | RTP 001205 (Georgia) | Secondary |
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 Ronnika C Harley, MD 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 Ph: (770) 819-9262 | Dr Ronnika C Harley, MD 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 Ph: (770) 819-9262 |
Mrs. Joli Ann Wilson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
Kelly Solms Garrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd # 22, Austell, GA 30106 Phone: 770-732-4022 Fax: 770-732-4023 | |
Mrs. Faye E. Spector Maloney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1664 Mulkey Rd, Austell, GA 30106 Phone: 770-941-7709 Fax: 770-941-6441 | |
Dr. Shelly-ann Michela Salandy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1680 Mulkey Rd, Suite E, Austell, GA 30106 Phone: 770-941-5107 Fax: 770-944-1013 | |
Dr. Patricia Anne Wolfe, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106 Phone: 770-819-9262 Fax: 678-945-1295 | |
Dr. Annisha Ellis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106 Phone: 770-819-9262 Fax: 678-945-1295 | |
Dr. Jennifer N Vernon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106 Phone: 404-316-6269 |