Mary Leah Molineaux, CNM | |
200 Gentilly Blvd, Cartersville, GA 30120-8504 | |
(470) 490-7200 | |
(770) 276-7251 |
Full Name | Mary Leah Molineaux |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 200 Gentilly Blvd, Cartersville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104591593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN206154 (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 |
---|---|
Mary Leah Molineaux, CNM 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000 | Mary Leah Molineaux, CNM 200 Gentilly Blvd, Cartersville, GA 30120-8504 Ph: (470) 490-7200 |
Vicki Lynn Yates, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-276-7250 Fax: 770-276-7251 | |
Macie Lane Goff, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
Barbora Cerny Snuggs, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-382-5611 Fax: 770-382-8381 | |
Amy Beth Riley, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
Mackenzie Leigh Weiss, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
Valerie Braden Smith, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-276-7250 Fax: 770-276-7251 |