Melissa Nicole Harrison Boekhaus, MD FAAP | |
4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080-6906 | |
(770) 801-5000 | |
(770) 435-6680 |
Full Name | Melissa Nicole Harrison Boekhaus |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4581 S Cobb Dr Se Ste 100, Smyrna, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134361728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 66993 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
---|---|
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 |
---|---|
Melissa Nicole Harrison Boekhaus, MD FAAP 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080-6906 Ph: (770) 801-5000 | Melissa Nicole Harrison Boekhaus, MD FAAP 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080-6906 Ph: (770) 801-5000 |
Guy H Sommers Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4015 S Cobb Dr Se, Ste 210, Smyrna, GA 30060 Phone: 770-434-8558 Fax: 770-434-8566 | |
Dr. Charles Christopher Richards, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1060 Windy Hill Rd Se Ste 200, Smyrna, GA 30080 Phone: 770-941-7709 Fax: 771-941-6441 | |
Noureen Noor Husain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1060 Windy Hill Rd Se Ste 200, Smyrna, GA 30080 Phone: 770-941-7709 Fax: 770-941-6441 | |
Dr. Jessika Renee Jackson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 Highlands Pkwy Se Ste 118, Smyrna, GA 30082 Phone: 404-220-7660 Fax: 770-803-9191 | |
Sherie Nicole Byrd, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3644 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 404-446-3960 | |
Dr. Rogena L Miller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 562 Concord Rd, Smyrna, GA 30082 Phone: 770-384-9900 Fax: 770-384-9912 |