Lisa Smith Ray, | |
2260 Wrightsboro Rd, Augusta, GA 30904-4764 | |
(803) 240-4957 | |
Not Available |
Full Name | Lisa Smith Ray |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2260 Wrightsboro Rd, Augusta, 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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1033262092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 78381 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN161736 (Georgia) | Primary |
Entity Name | Ams Southeast Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
Mailing Address | Practice Location Address |
---|---|
Lisa Smith Ray, 143 Citadel Dr, Aiken, SC 29803-6647 Ph: (803) 240-4957 | Lisa Smith Ray, 2260 Wrightsboro Rd, Augusta, GA 30904-4764 Ph: (803) 240-4957 |
John Kenneth Hawkins, CRNA, PHD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-9744 Fax: 706-721-6778 | |
Seidu B Issah, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Daniel Don Padgett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2224 Bridgeton Rd, Augusta, GA 30909 Phone: 706-631-3575 | |
Carla Flowers Duffie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Room Bi-2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Jill A Nesley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Amber Dawn Toulson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Rd, Augusta, GA 30909 Phone: 706-373-3877 | |
Kristin M. Geraghty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th Street, Augusta, GA 30912 Phone: 706-721-3871 |