Yolonda Jefferson, PT | |
455 Ethridge Dr Nw, Kennesaw, GA 30144-6694 | |
(770) 517-6733 | |
Not Available |
Full Name | Yolonda Jefferson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 455 Ethridge Dr Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558530188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 005632 (Georgia) | Primary |
Provider Name | Professional Medical & Rehab Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669716718 PECOS PAC ID: 2769628890 Enrollment ID: O20130416000575 |
Mailing Address | Practice Location Address |
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Yolonda Jefferson, PT 455 Ethridge Dr Nw, Kennesaw, GA 30144-6694 Ph: () - | Yolonda Jefferson, PT 455 Ethridge Dr Nw, Kennesaw, GA 30144-6694 Ph: (770) 517-6733 |
Divya Subhadra Nadimpalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Mccook Dr Nw, Kennesaw, GA 30144 Phone: 901-212-5834 | |
Laura Bonin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 602, Kennesaw, GA 30144 Phone: 770-558-5491 | |
Mr. Ross Joseph Brakeville, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2300 Kinsale Point, Kennesaw, GA 30152 Phone: 678-469-3007 Fax: 404-350-9405 | |
Brittany Strache, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144 Phone: 770-425-6701 Fax: 770-425-6703 | |
Mary Yostpille, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2774 Cobb Pkwy Nw Ste 112, Kennesaw, GA 30152 Phone: 678-809-8448 | |
Leslie Cole Landen, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015 Vaughn Rd Nw Ste 130, Kennesaw, GA 30144 Phone: 770-425-6661 | |
Dr. Dustin Dobbs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Creekside Village Dr Nw, Suite 701, Kennesaw, GA 30144 Phone: 678-574-6868 |