Lequawn Montrell James, | |
277 Medical Way, Riverdale, GA 30274 | |
(347) 735-1504 | |
Not Available |
Full Name | Lequawn Montrell James |
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Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 277 Medical Way, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1154834406 | NPI | - | NPPES |
Entity Name | Vitality Ageless Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730657271 PECOS PAC ID: 6800135872 Enrollment ID: O20190325002304 |
Mailing Address | Practice Location Address |
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Lequawn Montrell James, 600 Phipps Blvd Ne Apt 1601, Atlanta, GA 30326-3345 Ph: (803) 394-4993 | Lequawn Montrell James, 277 Medical Way, Riverdale, GA 30274 Ph: (347) 735-1504 |
Karen Krechmery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9326 Fax: 770-994-4747 | |
Sharlene Maynor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 Upper Riverdale Rd Sw, Ste 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-2334 | |
Evelinn Suarez Blanks, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 Upper Riverdale Rd Sw Bldg 2, Riverdale, GA 30274 Phone: 770-991-0778 | |
Miss Antranika D. Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 107, Riverdale, GA 30274 Phone: 678-489-6734 Fax: 888-497-4760 | |
Dr. Qiana A Johnson, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296 Phone: 470-575-6588 | |
Ubi Okim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 313-850-0299 | |
Shibana Elder Cutter, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2798 Topaz Rd, Riverdale, GA 30296 Phone: 678-763-1869 |