Porche Lashoade Corley, LCSW | |
1240 S 1st St, Jesup, GA 31545-7700 | |
(912) 421-9794 | |
Not Available |
Full Name | Porche Lashoade Corley |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1240 S 1st St, Jesup, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629771761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW008534 (Georgia) | 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: O20220315000829 |
Mailing Address | Practice Location Address |
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Porche Lashoade Corley, LCSW 1240 S 1st St, Jesup, GA 31545-7700 Ph: (912) 421-9794 | Porche Lashoade Corley, LCSW 1240 S 1st St, Jesup, GA 31545-7700 Ph: (912) 421-9794 |
Marissa Lairsey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 189 N Brunswick St, Jesup, GA 31546 Phone: 912-530-8889 | |
Paulette Parker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-294-2900 | |
Kathleen Deal Tatum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 296 Turpentine Cir, Jesup, GA 31545 Phone: 912-424-6134 | |
Hannah Brooke Evors, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 311 E Cherry St, Jesup, GA 31546 Phone: 912-530-8889 | |
Shauna Mattingly, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-286-2423 |