| Leia Mitchell, PA-C | |
|
4800 Olde Towne Pkwy Ste 370, Marietta, GA 30068-4396 | |
| (678) 631-4620 | |
| Not Available |
| Full Name | Leia Mitchell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4800 Olde Towne Pkwy Ste 370, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699401463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Aga, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726 |
| Entity Name | Aga Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Leia Mitchell, PA-C 1066 Stovall Blvd Ne, Atlanta, GA 30319-1221 Ph: (423) 290-3941 | Leia Mitchell, PA-C 4800 Olde Towne Pkwy Ste 370, Marietta, GA 30068-4396 Ph: (678) 631-4620 |
Amanda Michelle Outly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 Phone: 770-422-2326 Fax: 770-422-7231 |
Mrs. Torey Charlise Davis-bogan, SA-C, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3105 Rome Ct Sw, Marietta, GA 30064 Phone: 317-664-0771 |
Yumei Manzano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 699 Church St Ne Ste 340, Marietta, GA 30060 Phone: 678-355-1620 |
Samantha Lee Chaparro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1121 Johnson Ferry Rd Ste 310, Marietta, GA 30068 Phone: 770-675-9521 |
Jennifer Grimm, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060 Phone: 770-402-6438 |
Mrs. Lisa M Lewis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376 |
Ms. Megan Nichole Dalton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060 Phone: 770-281-5100 Fax: 678-581-7100 |