Kadasha Fairclough, RN is a
Nurse Anesthetist, Certified Registered based in Loganville, Georgia. Kadasha Fairclough is licensed to practice in Virginia (license number 0024190568) and her current practice location is
1340 Alexander Xing, Loganville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 916-9226.
NPI number for Kadasha Fairclough is 1184260275 and her current mailing address is 1340 Alexander Xing, Loganville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184260275.
Provider's Profile
Full Name | Kadasha Fairclough |
---|
Gender | Female |
---|
Speciality | Nurse Anesthetist, Certified Registered |
---|
Location | 1340 Alexander Xing, Loganville, Georgia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184260275
- Provider Enumeration Date: 11/23/2019
- Last Update Date: 12/06/2024
Medical Identifiers
Medical identifiers for Kadasha Fairclough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184260275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN286337 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024190568 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kadasha Fairclough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kadasha Fairclough, RN 1340 Alexander Xing, Loganville, GA 30052-3985 Ph: (404) 916-9226 | Kadasha Fairclough, RN 1340 Alexander Xing, Loganville, GA 30052-3985 Ph: (404) 916-9226 |
Reviews and Comments