Laura B Gordon, | |
20 Herrell Rd, Villa Rica, GA 30180-5527 | |
(770) 812-3928 | |
(770) 812-3989 |
Full Name | Laura B Gordon |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 20 Herrell Rd, Villa Rica, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1841079613 | NPI | - | NPPES |
Entity Name | Tmc-behavioral Health Of West Georgia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356795462 PECOS PAC ID: 2163714635 Enrollment ID: O20160705000347 |
Mailing Address | Practice Location Address |
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Laura B Gordon, 20 Herrell Rd, Villa Rica, GA 30180-5527 Ph: (770) 812-3928 | Laura B Gordon, 20 Herrell Rd, Villa Rica, GA 30180-5527 Ph: (770) 812-3928 |
Thomas Stuckey, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3294 | |
Jennifer Lee Roberts, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 690 Dallas Hwy Ste 103, Villa Rica, GA 30180 Phone: 770-214-2800 Fax: 770-214-2803 | |
Rahab Mona Muthoni, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 503 Main St, Villa Rica, GA 30180 Phone: 770-462-1170 | |
Mrs. Alisha Michelle Schuchman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32 Wood Cir, Villa Rica, GA 30180 Phone: 770-241-9255 | |
William Thomas Carroll Iii, ACNPC-AG Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-812-3000 | |
Mrs. Sarah Joann Matheka, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 Fax: 770-456-3977 | |
Steven Releford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 262 Industrial Blvd, Villa Rica, GA 30180 Phone: 678-448-7879 |