Mallory Lanier Rosche, MHS | |
1120 15th St, Augusta, GA 30912-6246 | |
(706) 721-8623 | |
Not Available |
Full Name | Mallory Lanier Rosche |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1120 15th St, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235465618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 04998 (Georgia) | Primary |
Provider Name | Au Medical Center, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437135902 PECOS PAC ID: 7618866229 Enrollment ID: O20040312000081 |
Provider Name | Wellstar Medical Group, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
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Mallory Lanier Rosche, MHS 2315 Central Ave Ste C, Augusta, GA 30904-6246 Ph: (706) 364-6172 | Mallory Lanier Rosche, MHS 1120 15th St, Augusta, GA 30912-6246 Ph: (706) 721-8623 |
Amanda Petro, MSR, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. Mary Elizabeth Miller Willson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Mr. Richard Jason Vital, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. April Neel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. Stephanie Lynn Cathcart, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Crawford Ave, Augusta, GA 30904 Phone: 706-736-1255 | |
Tanner Kate Sauls, MHSOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437 | |
Kristal F. Wyatt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 Fax: 706-731-7165 |