Tenisha L Meko, NP-C | |
100 Piedmont Rd Ne, Marietta, GA 30066 | |
(866) 389-2727 | |
Not Available |
Full Name | Tenisha L Meko |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 100 Piedmont Rd Ne, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356843528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 241316 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 241316 (Georgia) | Primary |
Entity Name | Mc Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356907695 PECOS PAC ID: 4183955974 Enrollment ID: O20191009000622 |
Entity Name | Ngx Lawrenceville Ga Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730804642 PECOS PAC ID: 4587034459 Enrollment ID: O20230110003110 |
Mailing Address | Practice Location Address |
---|---|
Tenisha L Meko, NP-C 100 Piedmont Rd Ne, Marietta, GA 30066-3636 Ph: (866) 389-2727 | Tenisha L Meko, NP-C 100 Piedmont Rd Ne, Marietta, GA 30066 Ph: (866) 389-2727 |
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