Refining Perceptions | |
175 Langley Dr Ste E1 Lawrenceville GA 30046-6952 | |
(470) 219-1472 | |
Not Available |
Full Name | Refining Perceptions |
---|---|
Speciality | Nurse Practitioner |
Location | 175 Langley Dr Ste E1, Lawrenceville, Georgia |
Authorized Official Name and Position | Jonita Leandra Mckinney (CEO) |
Authorized Official Contact | 4702191472 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Refining Perceptions 175 Langley Dr Ste 1 Lawrenceville GA 30046-6929 Ph: (470) 219-1472 | Refining Perceptions 175 Langley Dr Ste E1 Lawrenceville GA 30046-6952 Ph: (470) 219-1472 |
NPI Number | 1225600885 |
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Provider Enumeration Date | 07/13/2021 |
Last Update Date | 08/31/2023 |
Certification Date | 08/31/2023 |
Medicare PECOS PAC ID | 5294181020 |
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Medicare Enrollment ID | O20231030003186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225600885 | NPI | - | NPPES |
Provider Name | Donlarae Curtis Richardson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386139509 PECOS PAC ID: 7416384581 Enrollment ID: I20200302001796 |
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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