| Mary Leah Molineaux, CNM | |
| 200 Gentilly Blvd, Cartersville, GA 30120-8504 | |
| (470) 490-7200 | |
| (770) 276-7251 | 
| Full Name | Mary Leah Molineaux | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 200 Gentilly Blvd, Cartersville, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104591593 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN206154 (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 | 
|---|---|
| Mary Leah Molineaux, CNM 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000 | Mary Leah Molineaux, CNM 200 Gentilly Blvd, Cartersville, GA 30120-8504 Ph: (470) 490-7200 | 
| Vicki Lynn Yates, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-276-7250 Fax: 770-276-7251 | |
| Macie Lane Goff, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
| Barbora Cerny Snuggs, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-382-5611 Fax: 770-382-8381 | |
| Mackenzie Leigh Weiss, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
| Valerie Braden Smith, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-276-7250 Fax: 770-276-7251 | |
| Monica Asio Hall, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 |