Nina Carter, | |
3915 Harrison Rd Ste 300, Loganville, GA 30052-5896 | |
(770) 863-8810 | |
Not Available |
Full Name | Nina Carter |
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Gender | Female |
Speciality | Counselor |
Location | 3915 Harrison Rd Ste 300, Loganville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851878755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Primary Care Of Southwest Georgia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366641318 PECOS PAC ID: 5496777948 Enrollment ID: O20060201000362 |
Mailing Address | Practice Location Address |
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Nina Carter, 3915 Harrison Rd Ste 300, Loganville, GA 30052-5896 Ph: (260) 418-6032 | Nina Carter, 3915 Harrison Rd Ste 300, Loganville, GA 30052-5896 Ph: (770) 863-8810 |
Cetara Davis, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 Cooper Rd Ste B, Loganville, GA 30052 Phone: 678-597-8340 | |
Stacy W Froelich, LCSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 299 Cooper Rd Ste A, Loganville, GA 30052 Phone: 678-643-6782 Fax: 770-962-0088 | |
Whitney Milord, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 Lee Byrd Rd, Loganville, GA 30052 Phone: 404-547-8171 | |
Mwangala Kristine Sibetta-pate, LCSW-LMSW Counselor Medicare: Medicare Enrolled Practice Location: 367 Athens Hwy Ste 1800, Loganville, GA 30052 Phone: 770-554-2999 Fax: 770-679-6390 | |
Susan Fleming Spissman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Kristins Way, Loganville, GA 30052 Phone: 678-618-5006 | |
Jocelyn Rushin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Randy Rd, Loganville, GA 30052 Phone: 404-493-0258 | |
Dr. Carman Suzanne Clark, PSYCHOLOGIST, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 Lee Byrd Rd Ste 11, Loganville, GA 30052 Phone: 678-215-7236 |