Nakia C Shaw, EDD | |
23 Eastbrook Bend Suite 200, Peachtree City, GA 30369-8813 | |
(770) 256-1259 | |
Not Available |
Full Name | Nakia C Shaw |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 23 Eastbrook Bend Suite 200, Peachtree City, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396025862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC006194 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Nakia C Shaw, EDD 145 El Monte Ct, College Park, GA 30349-8813 Ph: (770) 256-1259 | Nakia C Shaw, EDD 23 Eastbrook Bend Suite 200, Peachtree City, GA 30369-8813 Ph: (770) 256-1259 |
Abigail Drew Abel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Prime Pt, Building 2 Suite D, Peachtree City, GA 30269 Phone: 678-788-6025 | |
Keishla Suazo-padilla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Westpark Dr Ste 325, Peachtree City, GA 30269 Phone: 770-632-5444 | |
Tonya Gilmore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Welton Way, Peachtree City, GA 30269 Phone: 678-852-8024 | |
Ann Davidson Sheerin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Westpark Dr Ste 130, Peachtree City, GA 30269 Phone: 404-747-7709 | |
Sathiya Priya Palanisamy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Shakerag Hl Ste 314, Peachtree City, GA 30269 Phone: 404-977-6712 | |
Crystal Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 Commerce Dr, Peachtree City, GA 30269 Phone: 770-862-6088 | |
Ashley Ann Bonvillain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Eastbrook Bnd, Suite 200, Peachtree City, GA 30269 Phone: 770-486-1140 Fax: 678-669-2693 |