Js Healthcare, Llc. | |
175 Langley Dr Ste 1 Lawrenceville GA 30046-6929 | |
(470) 589-2648 | |
Not Available |
Full Name | Js Healthcare, Llc. |
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Speciality | Nurse Practitioner |
Location | 175 Langley Dr Ste 1, Lawrenceville, Georgia |
Authorized Official Name and Position | Debra Harvey Stewart (CLINICAL DIRECTOR) |
Authorized Official Contact | 4704501355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Js Healthcare, Llc. 2354 Mitford Ct Dacula GA 30019-7404 Ph: (470) 589-2648 | Js Healthcare, Llc. 175 Langley Dr Ste 1 Lawrenceville GA 30046-6929 Ph: (470) 589-2648 |
NPI Number | 1831850163 |
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Provider Enumeration Date | 01/08/2022 |
Last Update Date | 10/07/2024 |
Certification Date | 10/07/2024 |
Medicare PECOS PAC ID | 7416397575 |
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Medicare Enrollment ID | O20240507000200 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831850163 | NPI | - | NPPES |
Provider Name | Debra Denise Harvey Stewart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245825611 PECOS PAC ID: 6305200908 Enrollment ID: I20230915000369 |
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