Christopher Green, | |
417 Yacht Club Ln, St Simons Island, GA 31522-2312 | |
(630) 854-4724 | |
Not Available |
Full Name | Christopher Green |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 417 Yacht Club Ln, St Simons Island, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801594742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN272723 (Georgia) | Primary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | RN272723 (Georgia) | Secondary |
Entity Name | Gateway Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558478214 PECOS PAC ID: 3173510237 Enrollment ID: O20040429000700 |
Entity Name | Curtis V. Cooper Primary Health Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750314183 PECOS PAC ID: 4789667015 Enrollment ID: O20040609000352 |
Mailing Address | Practice Location Address |
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Christopher Green, 417 Yacht Club Ln, St Simons Island, GA 31522-2312 Ph: (630) 854-4724 | Christopher Green, 417 Yacht Club Ln, St Simons Island, GA 31522-2312 Ph: (630) 854-4724 |
Mrs. Yeuk Mei Gentle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mallery St Apt 18, St Simons Island, GA 31522 Phone: 770-235-7014 | |
Carole Lyons, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 172 Follins Ln, St Simons Island, GA 31522 Phone: 912-634-2795 Fax: 912-638-5636 | |
Mrs. Lisia A Sullins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7000 Wellness Way, Suite 130, St Simons Island, GA 31522 Phone: 912-638-4855 Fax: 912-638-8302 | |
Shirley R Grant, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2927 Demere Rd, St Simons Island, GA 31522 Phone: 912-638-1999 | |
Hannah Davis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7000 Wellness Way, Suite 7120, St Simons Island, GA 31522 Phone: 912-634-4966 Fax: 912-634-6542 | |
Jourdain Davis Watson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 Union St, St Simons Island, GA 31522 Phone: 912-242-2302 |