Yvette Evans Fairley, LCSW | |
200 Gordon Ave, Thomasville, GA 31792-6640 | |
(786) 203-4268 | |
Not Available |
Full Name | Yvette Evans Fairley |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 200 Gordon Ave, Thomasville, Georgia |
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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1700527264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW007936 (Georgia) | Primary |
Entity Name | John D. Archbold Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
Entity Name | Joe Garmon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831413426 PECOS PAC ID: 6901099050 Enrollment ID: O20101020001603 |
Mailing Address | Practice Location Address |
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Yvette Evans Fairley, LCSW Po Box 7075, Thomasville, GA 31758-7075 Ph: (786) 203-4268 | Yvette Evans Fairley, LCSW 200 Gordon Ave, Thomasville, GA 31792-6640 Ph: (786) 203-4268 |
Thalia D Diggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 Tall Timbers Rd Apt B, Thomasville, GA 31757 Phone: 229-413-3253 | |
Kelly R Stevenson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Suite K, Thomasville, GA 31792 Phone: 229-227-2429 Fax: 229-225-4374 | |
Mr. Adrian Ramsey Stowers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1815 E Clay St, Thomasville, GA 31792 Phone: 229-233-2982 | |
Elizabeth A Nicholson, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1913 Smith Ave, Thomasville, GA 31792 Phone: 229-226-7060 Fax: 229-226-7061 | |
Mrs. Jessica Greil-burkhart, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Thomasville, GA 31792 Phone: 229-225-5208 | |
Robert James Hurn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Thomasville, GA 31792 Phone: 229-225-4335 Fax: 229-225-4374 | |
Mr. Jonathan Edward Walker, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1102 Smith Ave, Thomasville, GA 31792 Phone: 229-225-5208 |