Kelly Solms Garrison, MD | |
3950 Austell Rd # 22, Austell, GA 30106 | |
(770) 732-4022 | |
(770) 732-4023 |
Full Name | Kelly Solms Garrison |
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Gender | Female |
Speciality | Pediatrics |
Location | 3950 Austell Rd # 22, 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 |
---|---|---|---|
1083756894 | NPI | - | NPPES |
000701434F | Medicaid | GA | |
G41677 | Medicaid | SC | |
P00649634 | Other | GA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 041677 (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 |
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Kelly Solms Garrison, MD 3950 Austell Rd # 22, Austell, GA 30106-1121 Ph: (770) 732-4022 | Kelly Solms Garrison, MD 3950 Austell Rd # 22, Austell, GA 30106 Ph: (770) 732-4022 |
Mrs. Joli Ann Wilson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
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 |