Mollie Williams, NURSE PRACTITIONER | |
1322 Highway 77, Southside, AL 35907-0406 | |
(256) 613-9014 | |
Not Available |
Full Name | Mollie Williams |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1322 Highway 77, Southside, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154012383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-182680 (Alabama) | Primary |
Entity Name | Elite Health Group Llc Southside |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619675246 PECOS PAC ID: 2163888678 Enrollment ID: O20230525000011 |
Mailing Address | Practice Location Address |
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Mollie Williams, NURSE PRACTITIONER 1322 Highway 77, Southside, AL 35907-0406 Ph: () - | Mollie Williams, NURSE PRACTITIONER 1322 Highway 77, Southside, AL 35907-0406 Ph: (256) 613-9014 |
Gina Bolton Farley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5895 Katherine St, Southside, AL 35907 Phone: 256-490-9304 | |
Mindy Beth O'bryant, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3907 Hood Dr, Southside, AL 35907 Phone: 256-689-1038 | |
Angela Marie Pate, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2425 Highway 77, Southside, AL 35907 Phone: 256-442-4141 | |
Amanda Michelle Weaver, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3389 Berkley Hills Dr E, Southside, AL 35907 Phone: 256-490-9900 | |
Misty Lynne Holcomb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2425 Highway 77, Southside, AL 35907 Phone: 256-442-4141 Fax: 256-442-4157 |