| Ms Colette M Tetreault, CNM | |
|
1700 Hospital South Dr, Suite 500, Austell, GA 30106-6810 | |
| (770) 941-7717 | |
| (770) 948-9729 |
| Full Name | Ms Colette M Tetreault |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1700 Hospital South Dr, 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 |
|---|---|---|---|
| 1003806951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN150205 (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 |
|---|---|
| Ms Colette M Tetreault, CNM 1700 Hospital South Dr, Suite 500, Austell, GA 30106-6810 Ph: (770) 941-7717 | Ms Colette M Tetreault, CNM 1700 Hospital South Dr, Suite 500, Austell, GA 30106-6810 Ph: (770) 941-7717 |
Ms. Chastaine Kendrick, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1791 Mulkey Rd, Suite 200, Austell, GA 30106 Phone: 770-732-5400 Fax: 770-944-0327 | |
Mrs. Stephanie R Bonhaus, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr, Suite 500, Austell, GA 30106 Phone: 771-941-7717 Fax: 770-948-9729 | |
Emily A Goolsby, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr, Suite 500, Austell, GA 30106 Phone: 770-941-7717 | |
Mrs. Cynthia V. Guercio, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr. Suite 500, South Cobb Ob-gyn, Austell, GA 30106 Phone: 770-941-7717 | |
Whitney Anne Higuera, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr Ste 500, Austell, GA 30106 Phone: 770-941-7717 | |
Ms. Lois J Hersey, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1700 Hospital South Dr, Suite 500, Austell, GA 30106 Phone: 770-941-7717 Fax: 770-948-9729 |