| Gladys Mutura, | |
|
495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Gladys Mutura |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 495 Charles Hardy Pkwy, Dallas, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528685039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN255569 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Llc | 6709850241 | 509 |
| Entity Name | Minuteclinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
| Entity Name | Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770354763 PECOS PAC ID: 0941642169 Enrollment ID: O20241106000482 |
| Mailing Address | Practice Location Address |
|---|---|
| Gladys Mutura, 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 Ph: (866) 389-2727 | Gladys Mutura, 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 Ph: (866) 389-2727 |
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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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: Medicare Enrolled 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 |