Melba Salley, | |
2200 Medical Center Blvd Ste 200, Lawrenceville, GA 30046-7765 | |
(404) 962-6000 | |
Not Available |
Full Name | Melba Salley |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2200 Medical Center Blvd Ste 200, Lawrenceville, 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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1912769159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN158312 (Georgia) | Primary |
Entity Name | Northside Cardiovascular Professional Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518979921 PECOS PAC ID: 9739189838 Enrollment ID: O20070112000232 |
Entity Name | Northside Cardiovascular Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962060368 PECOS PAC ID: 2668708850 Enrollment ID: O20190725001893 |
Mailing Address | Practice Location Address |
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Melba Salley, 390 Andelle Ave, Suwanee, GA 30024-1004 Ph: (678) 341-9246 | Melba Salley, 2200 Medical Center Blvd Ste 200, Lawrenceville, GA 30046-7765 Ph: (404) 962-6000 |
Mrs. Katherine Elaine Campbell Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: -- | |
Christa Joiner, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046 Phone: 770-513-4000 | |
Solomon Gezahgn Abebe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 229-299-7476 | |
Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225 | |
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 | |
Ashley Lydia Mullican, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 | |
Katherine A Nguyen, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043 Phone: 678-442-0205 |