Tunika Mariah Theresa Larode, CNM | |
4181 Hospital Dr Ne Ste 104, Covington, GA 30014-2541 | |
(770) 385-8954 | |
Not Available |
Full Name | Tunika Mariah Theresa Larode |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4181 Hospital Dr Ne Ste 104, Covington, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336780840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN245026 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Tunika Mariah Theresa Larode, CNM 20 Drew Ct, Dallas, GA 30157-6994 Ph: (347) 844-8732 | Tunika Mariah Theresa Larode, CNM 4181 Hospital Dr Ne Ste 104, Covington, GA 30014-2541 Ph: (770) 385-8954 |
Rosalie Plofchan, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4181 Hospital Dr Ne Ste 104&100, Covington, GA 30014 Phone: 770-385-8954 | |
Brenda Barlowe, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4181 Hospital Drive, Suite 104, Covington, GA 30014 Phone: 770-385-8954 Fax: 770-385-8590 | |
Ms. Kristina Carmain, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4181 Hospital Dr., Ste 104, Covington, GA 30014 Phone: 770-385-8954 Fax: 770-385-8590 | |
Mrs. Barbara Lee Anne Susin, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4181 Hospital Dr Ne Ste 104, Covington, GA 30014 Phone: 770-385-8954 Fax: 770-385-8590 | |
Ms. Christine Hilderbrandt, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4181 Hospital Dr Ne Ste 104, Covington, GA 30014 Phone: 770-385-8594 Fax: 770-385-8590 | |
Tamsin Marie Lewis, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4181 Hospital Dr., Suite 104, Covington, GA 30014 Phone: 770-385-8954 Fax: 770-385-8590 |