Gentry Broach Tolbert, NP | |
1500 Langford Medical Drive, Bldg 200, Bogart, GA 30622 | |
(706) 208-0451 | |
Not Available |
Full Name | Gentry Broach Tolbert |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1500 Langford Medical Drive, Bogart, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144517038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN175489 (Georgia) | Primary |
Entity Name | Mark A. Ellis, M.d., Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841261294 PECOS PAC ID: 1557305638 Enrollment ID: O20050620000617 |
Entity Name | Peachtree Immediate Care Fp, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
Mailing Address | Practice Location Address |
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Gentry Broach Tolbert, NP 1500 Langford Medical Drive, Bldg 200, Bogart, GA 30622 Ph: (706) 208-0451 | Gentry Broach Tolbert, NP 1500 Langford Medical Drive, Bldg 200, Bogart, GA 30622 Ph: (706) 208-0451 |
Ms. Maya Regina Trocheck, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1561 Lenru Rd Ste A, Bogart, GA 30622 Phone: 770-725-2399 | |
Maryjane N Randels, FNP-ENP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1561 Lenru Rd, Suite A, Bogart, GA 30622 Phone: 850-445-4832 Fax: 706-549-3138 | |
Ms. Natalie Spif Romines, SNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1520b Jennings Mill Rd, Bogart, GA 30622 Phone: 706-227-8999 Fax: 706-227-6118 | |
Shuconda Sturdivant, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Bob Wages Rd, Bogart, GA 30622 Phone: 770-725-7298 | |
Erin Michele Graham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1561 Lenru Rd Ste A, Bogart, GA 30622 Phone: 877-355-4472 | |
Kathleen Grassmyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2235 Day Dr, Bogart, GA 30622 Phone: 770-733-7704 |