Malikata Nicolette Dano, NP | |
101 Quartz Dr Ste 103b, Villa Rica, GA 30180-3201 | |
(770) 812-3530 | |
(770) 812-3579 |
Full Name | Malikata Nicolette Dano |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 101 Quartz Dr Ste 103b, 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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1700506144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN195658 (Georgia) | Primary |
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 |
---|---|
Malikata Nicolette Dano, NP 5778 Wembley Dr, Douglasville, GA 30135-1875 Ph: (404) 852-1333 | Malikata Nicolette Dano, NP 101 Quartz Dr Ste 103b, Villa Rica, GA 30180-3201 Ph: (770) 812-3530 |
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 |