| Angela Renee Wilson, | |
|
1012 Enota Drive Ne, Gainesville, GA 30501 | |
| (770) 287-0714 | |
| Not Available |
| Full Name | Angela Renee Wilson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1012 Enota Drive Ne, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750048658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT006712 (Georgia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Renee Wilson, 4215 Green Summers Dr, Cumming, GA 30028-8115 Ph: (678) 860-5050 | Angela Renee Wilson, 1012 Enota Drive Ne, Gainesville, GA 30501 Ph: (770) 287-0714 |
Jessica Ariel Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-219-8218 | |
Mr. Edward Davis Ryan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1626 Hastings Ct, Gainesville, GA 30504 Phone: 678-936-0343 Fax: 678-450-6931 | |
Mr. Lee Watkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8200 Fax: 770-219-3862 | |
Dr. Nicholas Arceneaux, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 John Morrow Jr Pkwy, Suite 115-116, Gainesville, GA 30501 Phone: 678-862-0007 | |
Sisu Of Georgia, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Murphy Blvd, Gainesville, GA 30504 Phone: 770-535-8372 Fax: 770-535-0252 | |
Ian Magandy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Dawsonville Hwy Ste 6, Gainesville, GA 30501 Phone: 470-768-8100 Fax: 470-768-8101 | |
Tori Pou, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Spring St Se Ste 101, Gainesville, GA 30501 Phone: 770-615-7676 |