Mrs Kristina Brewton, LPC | |
1415 Jordan Dr, Statesboro, GA 30458-2465 | |
(912) 541-4968 | |
Not Available |
Full Name | Mrs Kristina Brewton |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1415 Jordan Dr, Statesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386017069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC008670 (Georgia) | Primary |
Entity Name | Privia Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristina Brewton, LPC 19 Coach Lee Hill Blvd, Statesboro, GA 30458-4700 Ph: (912) 662-6501 | Mrs Kristina Brewton, LPC 1415 Jordan Dr, Statesboro, GA 30458-2465 Ph: (912) 541-4968 |
Katharine Anne Mcgrory, M.S., LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 S Main St, Statesboro, GA 30458 Phone: 912-764-7001 | |
Raymond Selwyn Scott, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 Myrtle Crossing Dr Ste 300, Statesboro, GA 30458 Phone: 912-243-9310 Fax: 912-243-9311 | |
Joseph Folsom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 S Main St, Statesboro, GA 30458 Phone: 912-225-3769 | |
Teresa Irene Winn, LPC, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Northside Drive, Suite 115 West Park Professionals, Statesboro, GA 30458 Phone: 912-489-9802 Fax: 912-369-2030 | |
Ms. Amanda Jane Wadley, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 S Zetterower Ave, Statesboro, GA 30458 Phone: 912-764-6731 Fax: 912-764-6789 | |
Mr. Jimmy Heath Browning, LPC, MAC, CBT, MRT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Brampton Ave Ste N, Statesboro, GA 30458 Phone: 912-266-9094 | |
Skyler Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 S Main St, Statesboro, GA 30458 Phone: 912-225-3769 |