Kimberly Tillman Fulmer, | |
856 Us Highway 1 S, Swainsboro, GA 30401-4984 | |
(478) 237-7022 | |
(833) 637-2036 |
Full Name | Kimberly Tillman Fulmer |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 856 Us Highway 1 S, Swainsboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780348060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN139827 (Georgia) | Primary |
Entity Name | East Georgia Healthcare Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831144971 PECOS PAC ID: 0547228686 Enrollment ID: O20050722000569 |
Mailing Address | Practice Location Address |
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Kimberly Tillman Fulmer, 739 Burton Ave, Metter, GA 30439-3303 Ph: (912) 690-2652 | Kimberly Tillman Fulmer, 856 Us Highway 1 S, Swainsboro, GA 30401-4984 Ph: (478) 237-7022 |
Jamye Bellamy Clark, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 N Coleman St, Swainsboro, GA 30401 Phone: 478-237-2638 | |
Mandi Marion Wright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Kight Road, Swainsboro, GA 30401 Phone: 478-289-1100 | |
Mrs. Leila Smith Bragg, MSN, APRN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 328 W Main St, Swainsboro, GA 30401 Phone: 478-237-7801 Fax: 478-237-3883 | |
Mrs. Amanda Sweat Jarriel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Victory Dr, Swainsboro, GA 30401 Phone: 478-237-5506 | |
Mary Jo Greenway, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 Kite Rd, Second Floor, Swainsboro, GA 30401 Phone: 478-289-1150 Fax: 478-289-1199 | |
Sharon Denise Peebles, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125b Victory Dr, Swainsboro, GA 30401 Phone: 478-419-1250 Fax: 478-419-1252 | |
Jeniece L Cromartie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 S Jefferson St, Swainsboro, GA 30401 Phone: 478-237-7517 Fax: 478-237-4299 |