| Charla Neoma Nelson, DPT | |
|
6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | |
| (678) 648-7644 | |
| Not Available |
| Full Name | Charla Neoma Nelson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6505 Shiloh Rd Ste 100, Alpharetta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689639924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7761 (Arizona) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Charla Neoma Nelson, DPT 20261 E Ocotillo Rd, Suite 110, Queen Creek, AZ 85142-8806 Ph: (480) 677-2771 | Charla Neoma Nelson, DPT 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 Ph: (678) 648-7644 |
Katlyn Liley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 735 N Main St Ste 1300, Alpharetta, GA 30009 Phone: 770-580-8575 Fax: 770-415-5975 | |
Carol Colburn Hicks, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10930 Carrissa Trl, Alpharetta, GA 30022 Phone: 678-699-5258 | |
Aastha Paresh Shah, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8400 Holcomb Bridge Rd Ste 480, Alpharetta, GA 30022 Phone: 770-640-5470 Fax: 770-640-5471 | |
Chad R Luth, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6495 Shiloh Road, Suite 100, Alpharetta, GA 30005 Phone: 770-888-3011 | |
Mrs. Trisha Marie Wameling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4125 N Point Pkwy, Alpharetta, GA 30022 Phone: 678-366-7700 Fax: 770-569-7706 | |
Kirk Stewart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3155 Northpoint Pkwy, Building D, Suite 100, Alpharetta, GA 30005 Phone: 770-844-0805 | |
Leslie Gimbel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Founders Pkwy Ste 126, Alpharetta, GA 30009 Phone: 770-442-0727 Fax: 770-343-9607 |