Stephanie R Pittman, CNM | |
3240 Avalon Pkwy, Conyers, GA 30013-6320 | |
(770) 860-1133 | |
(770) 860-1599 |
Full Name | Stephanie R Pittman |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3240 Avalon Pkwy, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932414893 | NPI | - | NPPES |
128641656A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN156539 (Georgia) | Primary |
Entity Name | Richard M Robinson Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790839157 PECOS PAC ID: 1153390497 Enrollment ID: O20041001001062 |
Mailing Address | Practice Location Address |
---|---|
Stephanie R Pittman, CNM 3240 Avalon Pkwy, Conyers, GA 30013-6320 Ph: (770) 860-1133 | Stephanie R Pittman, CNM 3240 Avalon Pkwy, Conyers, GA 30013-6320 Ph: (770) 860-1133 |
Jennifer Gill Witmer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3240 Avalon Blvd, Conyers, GA 30013 Phone: 770-860-1133 Fax: 770-860-1599 | |
Erica Nembhard-samuels, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3240 Avalon Blvd, Conyers, GA 30013 Phone: 770-860-1133 Fax: 770-860-1599 | |
Mary Elizabeth Koho, MSN, CNM, WHNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3240 Avalon Pkwy, Conyers, GA 30013 Phone: 770-860-1133 Fax: 770-860-1599 | |
Mrs. Melissa D Aycox, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3240 Avalon Blvd, Conyers, GA 30013 Phone: 770-860-1133 Fax: 770-860-1599 | |
Katey Alison Jones, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1415 Milstead Rd Ne, Conyers, GA 30012 Phone: 678-413-0858 |