| Dr Elisheba Butts, MD | |
|
191 Medical Blvd, Stockbridge, GA 30281-5083 | |
| (678) 604-4000 | |
| Not Available |
| Full Name | Dr Elisheba Butts |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 191 Medical Blvd, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922413145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 079994 (Georgia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 80048 (Georgia) | Primary |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| 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 |
| Entity Name | Obhg Georgia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750686838 PECOS PAC ID: 9032383583 Enrollment ID: O20111117000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elisheba Butts, MD 805 Sandy Plains Road, Medical Staff Services, Marietta, GA 30066-6340 Ph: () - | Dr Elisheba Butts, MD 191 Medical Blvd, Stockbridge, GA 30281-5083 Ph: (678) 604-4000 |
Cheryl Wonderly Cockrell, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1050 Eagles Landing Pkwy, #302, Stockbridge, GA 30281 Phone: 770-474-0064 Fax: 770-474-2998 | |
Oluwadamilola Adenike Thomas, Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 350 Country Club Dr Ste D, Stockbridge, GA 30281 Phone: 678-604-4000 | |
Kimberly Jaye Mcintosh, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1050 Eagles Landing Pkwy, #302, Stockbridge, GA 30281 Phone: 770-474-0064 Fax: 770-474-2998 | |
Annie Josephine Cruz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 350 Country Club Dr, Suite D, Stockbridge, GA 30281 Phone: 770-474-1919 | |
Dr. Deborah Elaine Haynes, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 350 Country Club Dr, Suite D, Stockbridge, GA 30281 Phone: 770-474-1919 Fax: 770-474-7832 | |
Dr. Dawn Janelle Jones, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 290 Country Club Dr Ste 210, Stockbridge, GA 30281 Phone: 770-538-1723 Fax: 470-202-9820 | |
Dr. Tamika Louise Sea, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 290 Country Club Dr Ste 210, Stockbridge, GA 30281 Phone: 770-538-1723 Fax: 470-202-9820 |