Regina Osime, LCSW | |
307 Scruggs St, Waycross, GA 31501-3430 | |
(404) 386-2405 | |
Not Available |
Full Name | Regina Osime |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 307 Scruggs St, Waycross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811270341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW004436 (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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Regina Osime, LCSW 307 Scruggs St, Waycross, GA 31501-3430 Ph: (404) 386-2405 | Regina Osime, LCSW 307 Scruggs St, Waycross, GA 31501-3430 Ph: (404) 386-2405 |
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