Gregory H Sadler, MED | |
501 Mize St, La Fayette, GA 30728-3346 | |
(706) 638-5591 | |
(706) 638-2055 |
Full Name | Gregory H Sadler |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 501 Mize St, La Fayette, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053540930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC005657 (Georgia) | Primary |
Entity Name | Lookout Mountain Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790782431 PECOS PAC ID: 4880682822 Enrollment ID: O20040506000251 |
Mailing Address | Practice Location Address |
---|---|
Gregory H Sadler, MED 501 Mize St, La Fayette, GA 30728-3346 Ph: (706) 638-5591 | Gregory H Sadler, MED 501 Mize St, La Fayette, GA 30728-3346 Ph: (706) 638-5591 |
Ms. Beatrice Askew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, La Fayette, GA 30728 Phone: 706-628-5580 | |
Charlotte Speed, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, La Fayette, GA 30728 Phone: 706-538-5580 Fax: 706-638-5445 | |
Mr. Myron Russell Proctor, CADC, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 N Main St, La Fayette, GA 30728 Phone: 678-590-5589 | |
Morgan Boles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Margaret St, La Fayette, GA 30728 Phone: 678-590-5589 | |
Megan Brackett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, La Fayette, GA 30728 Phone: 706-638-5591 | |
Emily King, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, La Fayette, GA 30728 Phone: 706-806-1120 |