Alicia Davis, LPN | |
195 Miles St, Athens, GA 30601-1820 | |
(706) 542-9700 | |
Not Available |
Full Name | Alicia Davis |
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Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 195 Miles St, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295050201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN062649 (Georgia) | Primary |
Entity Name | Silverleaf Hospice, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144770199 PECOS PAC ID: 6800966979 Enrollment ID: O20161227000172 |
Mailing Address | Practice Location Address |
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Alicia Davis, LPN 250 North Ave, Athens, GA 30601-2244 Ph: (706) 542-9700 | Alicia Davis, LPN 195 Miles St, Athens, GA 30601-1820 Ph: (706) 542-9700 |
Pamela Brightwell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 250 North Ave, Athens, GA 30601 Phone: 706-542-9700 Fax: 706-227-7249 | |
Ms. Debra Yvonne Hart, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 250 Bray St, Athens, GA 30601 Phone: 706-389-6789 | |
Olivia Bailey, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 240 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-369-4575 | |
Dorothy Campbell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 250 North Ave, Athens, GA 30601 Phone: 706-389-6789 Fax: 706-227-7249 | |
Premal Callaway, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 250 North Ave, Athens, GA 30601 Phone: 706-389-6789 Fax: 706-227-7249 | |
Tamelia Ware, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 250 North Ave, Athens, GA 30601 Phone: 706-542-9700 Fax: 706-227-7249 | |
Yatemiese Smart, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 250 Bray St, Athens, GA 30601 Phone: 706-389-6789 |