Dharti Patel, NP | |
55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 | |
(770) 424-6893 | |
(770) 424-9095 |
Full Name | Dharti Patel |
---|---|
Gender | Female |
Speciality | Clinical Nurse Specialist - Adult Health |
Location | 55 Whitcher St Ne, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871788935 | NPI | - | NPPES |
003106975A | Medicaid | GA | |
003106975B | Medicaid | GA | |
003106975C- | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 209-006178 (Illinois) | Secondary |
364SA2200X | Clinical Nurse Specialist - Adult Health | RN149650 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dharti Patel, NP 55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 Ph: (770) 424-6893 | Dharti Patel, NP 55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 Ph: (770) 424-6893 |
Ms. Sarah K. Harris, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2540 Windy Hill Road, Wellstar Psychiatry, Llc, Marietta, GA 30067 Phone: 770-644-1570 Fax: 770-644-1576 | |
Dr. Jane A. Frederick, RN, MS,PHD Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Marietta Pkwy Se # Md9004, Marietta, GA 30060 Phone: 470-578-7391 Fax: 470-578-7161 | |
Dr. Jamie Clower Lee, DNP, APRN-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2540 Windy Hill Rd Se, Wellstar Psychiatry, Marietta, GA 30067 Phone: 770-644-1570 Fax: 770-644-1576 | |
Dr. Diana J Meeks-sjostrom, FNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3363 Preakness Ct, Marietta, GA 30062 Phone: 770-402-3973 | |
Mrs. Fernanda Renee Crosby-myles, FNP-C Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 310 Kennestone Hospital Blvd, Marietta, GA 30060 Phone: 770-793-7899 Fax: 770-793-7856 |