Dr Stacey Willingham, MD | |
2774 N. Cobb Pkwy., Suite 109, #133, Kennesaw, GA 30152-3334 | |
(404) 964-1474 | |
Not Available |
Full Name | Dr Stacey Willingham |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 2774 N. Cobb Pkwy., 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 |
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1144485293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208100000X | Physical Medicine & Rehabilitation | 041426 (Georgia) | Primary |
Entity Name | Chronic Pain Clinics Of America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417054669 PECOS PAC ID: 2466406087 Enrollment ID: O20050308000118 |
Entity Name | Dana Health And Wellness Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023421914 PECOS PAC ID: 5890917298 Enrollment ID: O20141120000605 |
Mailing Address | Practice Location Address |
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Dr Stacey Willingham, MD 2774 N Cobb Pkwy, Suite 109, #133, Kennesaw, GA 30152-3469 Ph: () - | Dr Stacey Willingham, MD 2774 N. Cobb Pkwy., Suite 109, #133, Kennesaw, GA 30152-3334 Ph: (404) 964-1474 |
Mrs. Jamie Townsend Young, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1275 Shiloh Rd Nw Ste 2031, Kennesaw, GA 30144 Phone: 678-607-7325 | |
Michele T. Perez, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 270 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 770-421-8005 Fax: 770-424-5662 | |
John Palmer Lanier, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1600 Kennesaw Due West Rd Nw, Suite 501, Kennesaw, GA 30152 Phone: 770-429-5555 Fax: 770-429-5586 | |
Amy Prall, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 590 Cobb Ave Nw # 0201, Kennesaw, GA 30144 Phone: 470-578-6487 | |
Dr. Sonny Sandeep Singh Dosanjh, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2911 George Busbee Pkwy Nw, Suite 50, Kennesaw, GA 30144 Phone: 844-328-4624 Fax: 770-882-2576 |