| Malikata Nicolette Dano, NP | |
|
101 Quartz Dr Ste 103b, Villa Rica, GA 30180-3201 | |
| (770) 812-3530 | |
| (770) 812-3579 |
| Full Name | Malikata Nicolette Dano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 101 Quartz Dr Ste 103b, Villa Rica, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700506144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN-NP195658 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmc-behavioral Health Of West Georgia | 2163714635 | 30 |
| Entity Name | Tmc-behavioral Health Of West Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356795462 PECOS PAC ID: 2163714635 Enrollment ID: O20160705000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Malikata Nicolette Dano, NP 5778 Wembley Dr, Douglasville, GA 30135-1875 Ph: (404) 852-1333 | Malikata Nicolette Dano, NP 101 Quartz Dr Ste 103b, Villa Rica, GA 30180-3201 Ph: (770) 812-3530 |
Anson Chin, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3283 | |
Thomas Stuckey, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3294 | |
Jennifer Lee Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy Ste 103, Villa Rica, GA 30180 Phone: 770-214-2800 Fax: 770-214-2803 | |
Rahab Mona Muthoni, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 503 Main St, Villa Rica, GA 30180 Phone: 770-462-1170 | |
Mr. John Kamau Kiarie, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 | |
Jacqueline Brown, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 Fax: 770-812-3579 | |
William Thomas Carroll Iii, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-812-3000 |