Colby Fowler, | |
190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | |
(770) 997-5714 | |
(770) 997-2844 |
Full Name | Colby Fowler |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 190 Handley Rd, Tyrone, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437684412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN252055 (Georgia) | Primary |
Entity Name | Wmc Tyrone Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033132998 PECOS PAC ID: 7113090705 Enrollment ID: O20080715000465 |
Mailing Address | Practice Location Address |
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Colby Fowler, 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 Ph: (770) 997-5714 | Colby Fowler, 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 Ph: (770) 997-5714 |
Vanessa Treaster, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 Fax: 770-997-2844 | |
Jill Harris, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 Fax: 770-997-2844 | |
Christine Taylor, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 130 Howell Rd Ste D, Tyrone, GA 30290 Phone: 678-915-8281 | |
Mrs. Margery Mcmichael Carr, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 Fax: 770-997-2844 | |
Katherine Cook, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 | |
Yakirah Lee, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd, Suite A, Tyrone, GA 30290 Phone: 770-997-5714 |