Mr Taylor J Mildenhall, MS PT | |
1741 Hog Mountain Rd, Bldg 100, Watkinsville, GA 30677-1947 | |
(706) 769-6261 | |
(706) 769-6316 |
Full Name | Mr Taylor J Mildenhall |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 1741 Hog Mountain Rd, Watkinsville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689961732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT010346 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Group Health Cooperative Of South Central Wisconsin | 3870489586 | 140 |
Provider Name | Group Health Cooperative Of South Central Wisconsin |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
Mailing Address | Practice Location Address |
---|---|
Mr Taylor J Mildenhall, MS PT 1741 Hog Mountain Rd, Bldg 100, Watkinsville, GA 30677-1947 Ph: (706) 769-6261 | Mr Taylor J Mildenhall, MS PT 1741 Hog Mountain Rd, Bldg 100, Watkinsville, GA 30677-1947 Ph: (706) 769-6261 |
Katherine Butler, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1381 Sunset Rdg, Watkinsville, GA 30677 Phone: 706-340-2298 Fax: 706-243-4652 | |
Sugarbear Pediatrics, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3810 Maddison Ave, Watkinsville, GA 30677 Phone: 253-970-5958 | |
Matthew Mcdaniel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way Ste 105, Watkinsville, GA 30677 Phone: 706-548-7300 | |
Heather J Ward, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1260 Mars Hill Rd Ste 115, Watkinsville, GA 30677 Phone: 706-705-6110 | |
Allison Bowen Donatelli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Jennings Mill Rd Ste 170, Watkinsville, GA 30677 Phone: 706-552-1923 | |
Gregory A Pemberton, RPT AND OTR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2253 Allegheny Lane, Watkinsville, GA 30677 Phone: 678-753-1135 Fax: 678-753-1173 | |
Janet L. Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 264 Concord Dr, Watkinsville, GA 30677 Phone: 706-769-0366 |