Debra B Lister, MD | |
1101 Ocilla Rd, Douglas, GA 31533 | |
(912) 384-1900 | |
(912) 389-2105 |
Full Name | Debra B Lister |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1101 Ocilla Rd, Douglas, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619041837 | NPI | - | NPPES |
00553682C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 038849 (Georgia) | Primary |
Entity Name | Coffee Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437120946 PECOS PAC ID: 4587656012 Enrollment ID: O20040402000287 |
Entity Name | Crh Physician Practices, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710046073 PECOS PAC ID: 5193727964 Enrollment ID: O20070207000243 |
Mailing Address | Practice Location Address |
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Debra B Lister, MD 1101 Ocilla Rd, Douglas, GA 31533 Ph: (912) 384-1900 | Debra B Lister, MD 1101 Ocilla Rd, Douglas, GA 31533 Ph: (912) 384-1900 |
Mark Thomas Brulte, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr, Suite 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-389-0979 | |
Johnathan E Gaskins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 Fax: 912-389-2105 | |
Dr. Jeffery Thomas Winge, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-383-6966 Fax: 912-389-2108 | |
Dr. Charles Francis Cowart, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 Fax: 912-384-6885 | |
Ross Glenn Moorman Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2104 Redbird Trail, Douglas, GA 31533 Phone: 912-260-2287 |