Ceymone Pride, is a
Student In An Organized Health Care Education/training Program based in Atlanta, Georgia. Ceymone Pride is licensed to practice in * (Not Available) (license number ) and her current practice location is
451 Lee St Sw # 5017, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 684-8049.
NPI number for Ceymone Pride is 1588352405 and her current mailing address is 451 Lee St Sw # 5017, Atlanta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588352405.
Provider's Profile
| Full Name | Ceymone Pride |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 451 Lee St Sw # 5017, Atlanta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588352405
- Provider Enumeration Date: 04/27/2023
- Last Update Date: 04/27/2023
Medical Identifiers
Medical identifiers for Ceymone Pride such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588352405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ceymone Pride is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ceymone Pride,
451 Lee St Sw # 5017,
Atlanta, GA 30310-1408
Ph: (678) 684-8049 | Ceymone Pride,
451 Lee St Sw # 5017,
Atlanta, GA 30310-1408
Ph: (678) 684-8049 |
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