| Tamolette Jane Anderson, CRNA | |
|
1700 Medical Way, Snellville, GA 30078-2195 | |
| (770) 979-9996 | |
| Not Available |
| Full Name | Tamolette Jane Anderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1700 Medical Way, Snellville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417938945 | NPI | - | NPPES |
| 430032609 | Other | GA | RAILROAD MEDICARE |
| 000691446B | Medicaid | GA | |
| 000691446D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R090293 (Georgia) | Primary |
| Entity Name | Advanced Urology Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215365242 PECOS PAC ID: 8729218417 Enrollment ID: O20140225000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamolette Jane Anderson, CRNA Po Box 3559, Suwanee, GA 30024-0993 Ph: (770) 979-9996 | Tamolette Jane Anderson, CRNA 1700 Medical Way, Snellville, GA 30078-2195 Ph: (770) 979-9996 |
Dana Nicole Standridge, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2347 Lenora Church Rd, Snellville, GA 30078 Phone: 770-979-2020 | |
Jennifer Jeri Thigpen Hearn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 996 Bridgewater Walk, Snellville, GA 30078 Phone: 404-583-0090 | |
Keven Keller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1557 Janmar Rd, Snellville, GA 30078 Phone: 678-344-8900 Fax: 678-666-5201 | |
Ruth Smith Jurney, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 | |
Elizabeth Villanueva, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 Fountain Dr, Snellville, GA 30078 Phone: 770-979-8200 | |
Ms. Ann J Strock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 | |
Lakasia Patrice Hill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202 |