Destiny D Gilder, CNM | |
725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | |
(770) 297-2200 | |
(770) 534-8139 |
Full Name | Destiny D Gilder |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 725 Jesse Jewell Pkwy Se, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134832686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN203158 (Georgia) | Primary |
Entity Name | The Longstreet Clinic, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Mailing Address | Practice Location Address |
---|---|
Destiny D Gilder, CNM Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Destiny D Gilder, CNM 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 297-2200 |
Vivian Clare Gradin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Suite 200, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 | |
Amanda Turner Driskell, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 | |
Ruth Sherry, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 | |
Diane S Tandy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-536-0149 Fax: 770-536-0317 | |
Sally A. Monroe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 | |
Kimberly Patton Blasingame, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 |