Holli Bailey Eason, FNP-BC | |
213 N Mcdonald St Ste A&b, Ludowici, GA 31316 | |
(912) 545-9398 | |
(912) 545-2747 |
Full Name | Holli Bailey Eason |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 213 N Mcdonald St Ste A&b, Ludowici, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982196507 | NPI | - | NPPES |
003207281A | Medicaid | GA | |
RN116108 | Other | GA | PROVIDER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN116108 (Georgia) | Primary |
Entity Name | Montgomery Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
Entity Name | Truhealth, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20191230000594 |
Mailing Address | Practice Location Address |
---|---|
Holli Bailey Eason, FNP-BC 1524 Ad Eason Rd, Claxton, GA 30417-3738 Ph: () - | Holli Bailey Eason, FNP-BC 213 N Mcdonald St Ste A&b, Ludowici, GA 31316 Ph: (912) 545-9398 |
Thomas Richard Crutchfield, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 153 Cypress Creek Dr Ne, Ludowici, GA 31316 Phone: 912-271-8678 | |
Melissa D Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 N Mcdonald St Ste A&b, Ludowici, GA 31316 Phone: 912-545-9398 Fax: 912-545-2747 | |
Florence O Baggs, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Coastal Manor Dr, Ludowici, GA 31316 Phone: 912-369-9313 Fax: 912-545-0043 | |
Kayla Elise Mock, AGPCNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 Madison Ave Ne, Ludowici, GA 31316 Phone: 912-432-9954 |