Angela Sherrell Danforth, | |
324 Greystone Pkwy, Hiram, GA 30141-4103 | |
(404) 974-6618 | |
Not Available |
Full Name | Angela Sherrell Danforth |
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Gender | Female |
Speciality | Registered Nurse |
Location | 324 Greystone Pkwy, Hiram, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003312257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN247888 (Georgia) | Primary |
Entity Name | Cobb County Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750442331 PECOS PAC ID: 7719875566 Enrollment ID: O20040304001136 |
Entity Name | Highland Rivers Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
Mailing Address | Practice Location Address |
---|---|
Angela Sherrell Danforth, 280 Merchants Dr, Dallas, GA 30132-0733 Ph: (404) 590-1279 | Angela Sherrell Danforth, 324 Greystone Pkwy, Hiram, GA 30141-4103 Ph: (404) 974-6618 |
Christy Dawn Rooker, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 126 Enterprise Path Ste 104b, Hiram, GA 30141 Phone: 470-347-1705 | |
Olive Ngome, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 34 Trayton Way, Hiram, GA 30141 Phone: 678-429-6836 | |
Gabriella Phillips, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 470-644-7000 | |
Monica I Williams, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 165 Lenox Ct, Hiram, GA 30141 Phone: 678-207-8397 | |
Yebu Yaye Jalloh Charles, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 105 Birch St, Hiram, GA 30141 Phone: 770-527-6341 | |
Virlira J Pass, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 470-644-7655 |