Evelyn Ahiante Dennis, | |
3325 Emden Ct, Snellville, GA 30039-6047 | |
(770) 895-2592 | |
Not Available |
Full Name | Evelyn Ahiante Dennis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 3325 Emden Ct, Snellville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457963746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 245869 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Highland Rivers Community Service Board | 9032000245 | 25 |
Entity Name | Highland Rivers Community Service Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
Mailing Address | Practice Location Address |
---|---|
Evelyn Ahiante Dennis, 3325 Emden Ct, Snellville, GA 30039-6047 Ph: (770) 895-2592 | Evelyn Ahiante Dennis, 3325 Emden Ct, Snellville, GA 30039-6047 Ph: (770) 895-2592 |
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