| Amy Gamino, AGNP-C | |
|
602 West Memorial Drive, Suit 101, Dallas, GA 30132 | |
| (943) 202-7870 | |
| (470) 986-7205 |
| Full Name | Amy Gamino |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 602 West Memorial Drive, Dallas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710517941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN256719 (Georgia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | RN256719 (Georgia) | Primary |
| 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 |
|---|---|
| Amy Gamino, AGNP-C 602 West Memorial Drive, Suit 101, Dallas, GA 30132 Ph: (943) 202-7870 | Amy Gamino, AGNP-C 602 West Memorial Drive, Suit 101, Dallas, GA 30132 Ph: (943) 202-7870 |
Kimberly Williams Naab, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Nathan Dean Blvd, Dallas, GA 30132 Phone: 770-505-3837 | |
Karen F Frazier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-231-4783 | |
Yolonda Michelle Rawls, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 149 Parkmont Court, Dallas, GA 30132 Phone: 770-866-1777 | |
Amy Evans, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 273 Macland Rd, Dallas, GA 30132 Phone: 770-441-4001 | |
Aline Ange Well- Okojie, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Nathan Dean Blvd, Dallas, GA 30132 Phone: 770-505-3837 | |
Mr. Robert Dean Devlin Ii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Paulding Blvd, Dallas, GA 30157 Phone: 229-269-7889 | |
Mrs. Amanda Elizabeth Shaw, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-445-2128 |