| Bianca Rose Durant, | |
|
2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | |
| (404) 686-4411 | |
| Not Available |
| Full Name | Bianca Rose Durant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Critical Care Medicine |
| Location | 2801 Dekalb Medical Pkwy, Lithonia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760133532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WS0200X | Registered Nurse - School | RN252592 (Georgia) | Secondary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN252592 (Georgia) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Bianca Rose Durant, 5484 Holly Springs Dr, Douglasville, GA 30135-4978 Ph: (770) 262-4776 | Bianca Rose Durant, 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 Ph: (404) 686-4411 |
Agnes P Oyewo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Office, Lithonia, GA 30058 Phone: 770-322-2777 Fax: 678-610-6025 | |
Ms. Tonecesa Burtton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6231 Waterton Way, Lithonia, GA 30058 Phone: 770-462-9202 | |
Ms. Abisola A Ajayi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Hillandale Dr, Suite 250, Lithonia, GA 30058 Phone: 770-981-5431 Fax: 770-981-5515 | |
Lenice Murdock-cohen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3641 Raiders Ridge Dr, Lithonia, GA 30038 Phone: 404-444-0649 | |
Glory Abuajah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8460 | |
Mr. Simon Njelefack Ekokobe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Alice Ave, Lithonia, GA 30058 Phone: 404-314-0776 | |
Mrs. Lisa Marie Rose-cantrell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-3216 Fax: 770-938-1759 |