Ashley Elizabeth Black, FNP | |
118 E Girard Ave, Cedartown, GA 30125-2712 | |
(678) 246-5174 | |
(706) 657-2958 |
Full Name | Ashley Elizabeth Black |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 118 E Girard Ave, Cedartown, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477146777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN251510 (Georgia) | Primary |
Entity Name | Mc Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356907695 PECOS PAC ID: 4183955974 Enrollment ID: O20191009000622 |
Mailing Address | Practice Location Address |
---|---|
Ashley Elizabeth Black, FNP 13570 N Main St, Trenton, GA 30752-2012 Ph: (706) 956-2665 | Ashley Elizabeth Black, FNP 118 E Girard Ave, Cedartown, GA 30125-2712 Ph: (678) 246-5174 |
Mrs. Carmen Regiena Robinson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-0030 Fax: 770-749-4418 | |
Cherry Lee Tison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 424 N Main St, Cedartown, GA 30125 Phone: 770-748-2500 | |
Susan B Wilson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 E Fairmount Ave, Cedartown, GA 30125 Phone: 770-748-5212 Fax: 770-748-2944 | |
Jina Lynn Ford, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1168 N Main St, Cedartown, GA 30125 Phone: 770-749-1005 | |
Hannah Bell Helton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2360 Rockmart Hwy, Cedartown, GA 30125 Phone: 770-748-2500 | |
Mandy Leann Kisor, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Cherokee Rd, Cedartown, GA 30125 Phone: 770-749-5400 Fax: 770-749-9628 | |
Takeya Renee Fogle, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Cherokee Rd, Cedartown, GA 30125 Phone: 770-749-9600 Fax: 770-749-9628 |