Shalundrah Mcintire, | |
4475 W Village Pkwy, Ellenwood, GA 30294-2869 | |
(770) 507-7950 | |
(716) 710-8082 |
Full Name | Shalundrah Mcintire |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4475 W Village Pkwy, Ellenwood, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326588104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN223627 (Georgia) | Primary |
Entity Name | Wellstreet Of Georgia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
Mailing Address | Practice Location Address |
---|---|
Shalundrah Mcintire, 10945 Paladin Dr, Hampton, GA 30228-6172 Ph: (478) 334-3788 | Shalundrah Mcintire, 4475 W Village Pkwy, Ellenwood, GA 30294-2869 Ph: (770) 507-7950 |
Sharalyn Marrion Martin, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Saint Lukes Way, Ellenwood, GA 30294 Phone: 678-520-1616 | |
Jacqueline Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Summit Heights Ct Ste 120, Ellenwood, GA 30294 Phone: 404-552-5128 | |
Ms. Abosede Haygood, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4639 River Hill Cir, Ellenwood, GA 30294 Phone: 404-259-0967 | |
Ngassa Nchapada Menga Faith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2568 Brittany Park Cv, Ellenwood, GA 30294 Phone: 404-578-5437 | |
Rose Senge Kombe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750 | |
Mrs. Terrilyn D Lemons, APRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4018 Park Place Cir, Ellenwood, GA 30294 Phone: 404-212-1024 Fax: 404-212-1024 |