Mrs Taiwo Hazanat Soluade, | |
7117 Secret Rose, Douglasville, GA 30134-1669 | |
(770) 335-5213 | |
Not Available |
Full Name | Mrs Taiwo Hazanat Soluade |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 7117 Secret Rose, Douglasville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942946819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN265390 (Georgia) | Primary |
Entity Name | Highland Rivers Community Service Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
Entity Name | River Region Psychiatry Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386891497 PECOS PAC ID: 1254491012 Enrollment ID: O20201109001072 |
Mailing Address | Practice Location Address |
---|---|
Mrs Taiwo Hazanat Soluade, 20 Hernell Drive, Villa Rica, GA 30180 Ph: (813) 449-3678 | Mrs Taiwo Hazanat Soluade, 7117 Secret Rose, Douglasville, GA 30134-1669 Ph: (770) 335-5213 |
Amparo Pyronneau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8954 Hospital Dr, Building B, Suite 115, Douglasville, GA 30134 Phone: 770-874-5400 | |
Ms. Tommie Joann Floyd, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6025 Professional Pkwy Ste 200, Douglasville, GA 30134 Phone: 770-949-0555 | |
Irene Obiageri Ibenyenwa, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6031 Fairburn Rd, Douglasville, GA 30134 Phone: 770-942-9214 | |
Nina Sheria Lagarde, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 678-838-2584 | |
Amanda Ray, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9280 Highway 5, Douglasville, GA 30134 Phone: 770-949-2250 | |
Hina Rajesh Nana, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6025 Professional Pkwy, Suite 200, Douglasville, GA 30134 Phone: 770-949-0555 Fax: 770-949-4424 | |
Kelly Quiana Talbert Thaggard, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022 |