Justin Souter, NP | |
11 Charlie Morris Rd, Colbert, GA 30628-2445 | |
(706) 521-3113 | |
Not Available |
Full Name | Justin Souter |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 11 Charlie Morris Rd, Colbert, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205539293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 306248 (Georgia) | Primary |
Entity Name | Medlink Georgia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794541 PECOS PAC ID: 3274442850 Enrollment ID: O20040303000376 |
Mailing Address | Practice Location Address |
---|---|
Justin Souter, NP 11 Charlie Morris Rd, Colbert, GA 30628-2445 Ph: () - | Justin Souter, NP 11 Charlie Morris Rd, Colbert, GA 30628-2445 Ph: (706) 521-3113 |
Mrs. Sarah Sammons, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 067-882-1277 | |
Evan Grovenstein, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 | |
Karla Coco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 | |
Dallas Louis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-3234 Fax: 706-788-2936 | |
Nicole Ford, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 Fax: 706-788-2815 | |
Linda Tejada Mahomar, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 |