Bria Alexia Wilson, | |
2745 Dekalb Medical Pkwy Ste 200, Lithonia, GA 30058-4933 | |
(678) 368-6913 | |
Not Available |
Full Name | Bria Alexia Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2745 Dekalb Medical Pkwy Ste 200, Lithonia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144926155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 268719 (Georgia) | Primary |
Entity Name | Qcpi-villagemd Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558872432 PECOS PAC ID: 8123389277 Enrollment ID: O20180306001224 |
Mailing Address | Practice Location Address |
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Bria Alexia Wilson, 2718 W Roscoe St, Chicago, IL 60618-5910 Ph: () - | Bria Alexia Wilson, 2745 Dekalb Medical Pkwy Ste 200, Lithonia, GA 30058-4933 Ph: (678) 368-6913 |
Agnes P Oyewo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Office, Lithonia, GA 30058 Phone: 770-322-2777 Fax: 678-610-6025 | |
Ms. Tonecesa Burtton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6231 Waterton Way, Lithonia, GA 30058 Phone: 770-462-9202 | |
Ms. Abisola A Ajayi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Hillandale Dr, Suite 250, Lithonia, GA 30058 Phone: 770-981-5431 Fax: 770-981-5515 | |
Lenice Murdock-cohen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3641 Raiders Ridge Dr, Lithonia, GA 30038 Phone: 404-444-0649 | |
Glory Abuajah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8460 | |
Mr. Simon Njelefack Ekokobe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Alice Ave, Lithonia, GA 30058 Phone: 404-314-0776 | |
Mrs. Lisa Marie Rose-cantrell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-3216 Fax: 770-938-1759 |