Mrs Linda Angela Mbah, NP-C | |
2817 Lost Lakes Way, Powder Springs, GA 30127-6018 | |
(678) 308-1546 | |
Not Available |
Full Name | Mrs Linda Angela Mbah |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2817 Lost Lakes Way, Powder Springs, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619165511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN155427 (Georgia) | Primary |
Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
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Mrs Linda Angela Mbah, NP-C 2817 Lost Lakes Way, Powder Springs, GA 30127-6018 Ph: (678) 308-1546 | Mrs Linda Angela Mbah, NP-C 2817 Lost Lakes Way, Powder Springs, GA 30127-6018 Ph: (678) 308-1546 |
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