Sharika Tillman, FNP -BC | |
2001 Duncan Dr Nw, Kennesaw, GA 30144-3513 | |
(309) 369-2940 | |
Not Available |
Full Name | Sharika Tillman |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 2001 Duncan Dr Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154057990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN302209 (Georgia) | Primary |
Entity Name | Medical Director Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321 |
Entity Name | Hardy Renew Wellness,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534 |
Mailing Address | Practice Location Address |
---|---|
Sharika Tillman, FNP -BC 2001 Duncan Dr Nw, Kennesaw, GA 30144-3513 Ph: (309) 369-2940 | Sharika Tillman, FNP -BC 2001 Duncan Dr Nw, Kennesaw, GA 30144-3513 Ph: (309) 369-2940 |
Geannette Elaine Williams, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 | |
Phallon Thomas, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 | |
Sarah Mitchum Keen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000 | |
Alyna Punjwani, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2188 Dresden Grn Nw, Kennesaw, GA 30144 Phone: 469-777-2122 | |
Christopher Laldin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 | |
Paul Bahati, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 |