Amanda Chenault, | |
650 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-3962 | |
(706) 229-7332 | |
(706) 270-5111 |
Full Name | Amanda Chenault |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 650 Joe Frank Harris Pkwy Se, Cartersville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467141119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 225526 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN225526 (Georgia) | Primary |
Entity Name | Highland Rivers Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
Mailing Address | Practice Location Address |
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Amanda Chenault, 5428 Thornapple Lane, Acworth, GA 30101 Ph: (770) 500-6840 | Amanda Chenault, 650 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-3962 Ph: (706) 229-7332 |
Donna Marie Liming, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 768 West Ave, Cartersville, GA 30120 Phone: 770-383-3552 | |
Mrs. Jessica Perri Lay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 Phone: 770-386-5221 Fax: 770-386-1128 | |
Sandra Beverley Burrell-spence, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6510 Fax: 470-490-6517 | |
Sandy Menard, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 W Main St, Cartersville, GA 30120 Phone: 678-719-3240 | |
Mrs. Jacqueline Reid, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Pointe North Dr, Cartersville, GA 30120 Phone: 678-721-0705 Fax: 678-721-5116 | |
Lisa Arvind Patel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7470 Fax: 770-386-7910 | |
Ms. Lourdes Cristina Irizar, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1328 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-382-0029 |