Dina Hicks Herren, FNP | |
1806 Lee Ave, Tifton, GA 31794-3639 | |
(229) 386-1528 | |
(229) 388-0556 |
Full Name | Dina Hicks Herren |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1806 Lee Ave, Tifton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548658107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN178293 (Georgia) | Primary |
Entity Name | United Obstetrics And Gynecology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205847639 PECOS PAC ID: 6608835046 Enrollment ID: O20041011000071 |
Mailing Address | Practice Location Address |
---|---|
Dina Hicks Herren, FNP 1806 Lee Ave, Tifton, GA 31794-3639 Ph: (229) 386-1528 | Dina Hicks Herren, FNP 1806 Lee Ave, Tifton, GA 31794-3639 Ph: (229) 386-1528 |
Mrs. Lisa Dian Smith, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 Lee Ave, Tifton, GA 31794 Phone: 229-386-1528 Fax: 229-388-0556 | |
Ana Alicia Gomez Nova, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 Phone: 229-445-3509 | |
Callie Haynes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1622 Madison Ave, Tifton, GA 31794 Phone: 229-387-8061 | |
Hannah Janleigh Vickers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1948 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-391-3500 Fax: 229-391-3499 | |
Rachel Ware Holloway, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 | |
David Ryan Atkins, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Dola Tejaskumar Patel, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 334 Tifton Eldorado Rd, Tifton, GA 31794 Phone: 229-391-2301 Fax: 229-386-3221 |