Tiffany Fern Gartrell, MD | |
1625 Hospital South Dr Ste 150, Austell, GA 30106-8111 | |
(470) 732-6950 | |
Not Available |
Full Name | Tiffany Fern Gartrell |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1625 Hospital South Dr Ste 150, 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 |
---|---|---|---|
1962791491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 76036 (Georgia) | Primary |
2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | 76036 (Georgia) | Secondary |
Entity Name | Department Of Behavioral Health And Developmental Disabilities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435 |
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 |
---|---|
Tiffany Fern Gartrell, MD 1625 Austell Road, Austell, GA 30106 Ph: (470) 732-6950 | Tiffany Fern Gartrell, MD 1625 Hospital South Dr Ste 150, Austell, GA 30106-8111 Ph: (470) 732-6950 |
Sandy Shaw Mcgaffigan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4460 Austell Rd, Austell, GA 30106 Phone: 770-941-4716 Fax: 770-941-3047 | |
Dr. James Kenneth Freeman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1048 Blair Bridge Rd, Austell, GA 30168 Phone: 770-309-1466 | |
Daniela Guilliam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1664 Mulkey Rd, Austell, GA 30106 Phone: 770-422-1372 Fax: 770-999-2599 | |
Dr. Sital Vijendra Patel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4460 Austell Rd, Austell, GA 30106 Phone: 770-944-3616 | |
Dr. Robert Glen Bashuk, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4460 Austell Rd, Austell, GA 30106 Phone: 770-941-4716 Fax: 770-941-3047 | |
Peter Yong Joon Lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1625 Hospital North Drive, Suite 150, Austell, GA 30106 Phone: 770-732-6950 | |
Dr. Anthony Uba Ekwenchi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4585 Austell Rd, Austell, GA 30106 Phone: 770-948-9338 Fax: 770-948-5556 |