| Melissa T Clinkscales, PAAA | |
|
3950 Austell Rd, Austell, GA 30106 | |
| (770) 732-3649 | |
| (770) 732-3648 |
| Full Name | Melissa T Clinkscales |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3950 Austell Rd, Austell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275596504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 002686 (Georgia) | Primary |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa T Clinkscales, PAAA Po Box 155, Austell, GA 30168-1002 Ph: (770) 732-3649 | Melissa T Clinkscales, PAAA 3950 Austell Rd, Austell, GA 30106 Ph: (770) 732-3649 |
Paul P Serdula, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Grace A Langley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Road, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Stacy Harrison Bradfield, SRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3870 Medical Park Dr, Ste 110, Austell, GA 30106 Phone: 770-948-6824 | |
Taylor Armstead, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-702-1806 | |
Miss Tiffany Leeann Townsend, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-702-1806 | |
Carmen Nicole Simmons, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3648 |