| Dr Ronnika C Harley, MD | |
| 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | |
| (770) 819-9262 | |
| (770) 819-1435 | 
| Full Name | Dr Ronnika C Harley | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1810 Mulkey Rd, Austell, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508987793 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 060848 (Georgia) | Primary | 
| 208000000X | Pediatrics | RTP 001205 (Georgia) | Secondary | 
| Entity Name | Wellstar Medical Group Llc | 
|---|---|
| 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 | 
|---|---|
| Dr Ronnika C Harley, MD 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 Ph: (770) 819-9262 | Dr Ronnika C Harley, MD 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 Ph: (770) 819-9262 | 
| Mrs. Joli Ann Wilson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
| Dr. Kathryn Shipp Rhyne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-4415 | |
| Mrs. Nomiki Nikitadena Catsulis, APRN, PNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
| Kelly Solms Garrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd # 22, Austell, GA 30106 Phone: 770-732-4022 Fax: 770-732-4023 | |
| Mrs. Faye E. Spector Maloney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1664 Mulkey Rd, Austell, GA 30106 Phone: 770-941-7709 Fax: 770-941-6441 | |
| Autumn Ross, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1810 Mulkey Rd, Austell, GA 30106 Phone: 770-819-9262 | |
| Dr. Shelly-ann Michela Salandy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1680 Mulkey Rd, Suite E, Austell, GA 30106 Phone: 770-941-5107 Fax: 770-944-1013 |