Lilian Mugwede, | |
1023 Privy Ln, Stone Mountain, GA 30083-4769 | |
(678) 458-7080 | |
Not Available |
Full Name | Lilian Mugwede |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1023 Privy Ln, Stone Mountain, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629580196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN209723 (Georgia) | Primary |
Entity Name | Geps Physician Group Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881064467 PECOS PAC ID: 3274842646 Enrollment ID: O20151026001838 |
Entity Name | Gps Physician Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180629000260 |
Entity Name | Medical Director Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321 |
Entity Name | Hardy Renew Wellness,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534 |
Mailing Address | Practice Location Address |
---|---|
Lilian Mugwede, 1023 Privy Ln, Stone Mountain, GA 30083-4769 Ph: (678) 458-7080 | Lilian Mugwede, 1023 Privy Ln, Stone Mountain, GA 30083-4769 Ph: (678) 458-7080 |
Mrs. Sherly John, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4958 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-809-2408 | |
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499 | |
Roneshia Michelle Rudolph-meadows, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 Fax: 770-322-6191 | |
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998 | |
Pauline Kpannah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4952 Green Bark Cir E, Stone Mountain, GA 30083 Phone: 678-396-0843 | |
Nikeisha Clevia Oliver, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-413-1476 | |
Andrea Zmaj, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 |