Garland Bryant Bass Nichols, | |
1708 S Mebane St Ste 302, Burlington, NC 27215-6591 | |
(336) 229-4624 | |
Not Available |
Full Name | Garland Bryant Bass Nichols |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1708 S Mebane St Ste 302, Burlington, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1790323293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | P014180 (North Carolina) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
Mailing Address | Practice Location Address |
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Garland Bryant Bass Nichols, 4030 St Croix Ln Apt 101, Mebane, NC 27302-7461 Ph: () - | Garland Bryant Bass Nichols, 1708 S Mebane St Ste 302, Burlington, NC 27215-6591 Ph: (336) 229-4624 |
Oona-ife Olaiya Wright, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1214 Vaughn Rd, Burlington, NC 27217 Phone: 336-506-5840 | |
Nikisha Michelle Mock, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1708 S Mebane St, Burlington, NC 27215 Phone: 336-229-4624 | |
Mackenzie Gould, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1708 S Mebane St, Burlington, NC 27215 Phone: 203-455-7099 | |
Meredith Blumberg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 N Graham Hopedale Rd, Burlington, NC 27217 Phone: 336-570-3739 | |
Nancy W Baraks, LCSW, LCAS-A Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2732 Ann Elizabeth Dr, Burlington, NC 27215 Phone: 336-229-5905 Fax: 336-229-5906 | |
Mrs. Cassie Oxendine Price, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1708 S Mebane St Ste 302, Burlington, NC 27215 Phone: 336-229-4624 | |
Latia Dawkins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1708 S Mebane St Ste 302, Burlington, NC 27215 Phone: 336-229-4624 |