Angela Renee Wilson, | |
1012 Enota Drive Ne, Gainesville, GA 30501 | |
(770) 287-0714 | |
Not Available |
Full Name | Angela Renee Wilson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1012 Enota Drive Ne, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750048658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT006712 (Georgia) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
Mailing Address | Practice Location Address |
---|---|
Angela Renee Wilson, 4215 Green Summers Dr, Cumming, GA 30028-8115 Ph: (678) 860-5050 | Angela Renee Wilson, 1012 Enota Drive Ne, Gainesville, GA 30501 Ph: (770) 287-0714 |
Jessica Ariel Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-219-8218 | |
Mr. Edward Davis Ryan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1626 Hastings Ct, Gainesville, GA 30504 Phone: 678-936-0343 Fax: 678-450-6931 | |
Mr. Lee Watkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8200 Fax: 770-219-3862 | |
Sisu Of Georgia, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Murphy Blvd, Gainesville, GA 30504 Phone: 770-535-8372 Fax: 770-535-0252 | |
Tori Pou, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Spring St Se Ste 101, Gainesville, GA 30501 Phone: 770-615-7676 | |
Warner Brock, P.T.,CMDT, MBA, CEAS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Spring St, Suite B, Gainesville, GA 30501 Phone: 770-532-5721 Fax: 770-532-5929 | |
Kellie Renee Keeney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Sherwood Park Dr Ne Ste 140, Gainesville, GA 30501 Phone: 770-297-7750 Fax: 770-297-1026 |