| Dr Rita M Mahmoud, PHD | |
|
150 Bollen Ln, Hiram, GA 30141-4178 | |
| (478) 251-4436 | |
| Not Available |
| Full Name | Dr Rita M Mahmoud |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 150 Bollen Ln, 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 |
|---|---|---|---|
| 1891042628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN109444 (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 |
|---|---|
| Dr Rita M Mahmoud, PHD 150 Bollen Ln, Hiram, GA 30141-4178 Ph: (478) 251-4436 | Dr Rita M Mahmoud, PHD 150 Bollen Ln, Hiram, GA 30141-4178 Ph: (478) 251-4436 |
Angela Sherrell Danforth, Registered Nurse Medicare: Medicare Enrolled Practice Location: 5220 Jimmy Lee Smith Parkway Suite 104 #346, Hiram, GA 30141 Phone: 470-616-0086 Fax: 213-319-6947 | |
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 | |
Shantel Dennis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 538 Kyles Cir, Hiram, GA 30141 Phone: 404-796-1889 | |
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 |