Lorri R South, CRNA | |
6335 Hospital Pkwy, Suite 111, Johns Creek, GA 30097-1549 | |
(770) 712-4616 | |
(770) 495-1585 |
Full Name | Lorri R South |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6335 Hospital Pkwy, Johns Creek, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043207814 | NPI | - | NPPES |
000947119H | Medicaid | GA | |
000947119B | Medicaid | GA | |
000947119G | Medicaid | GA | |
000947119E | Medicaid | GA | |
000947119C | Medicaid | GA | |
000947119D | Medicaid | GA | |
000947119F | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN128961 (Georgia) | Primary |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
---|---|
Lorri R South, CRNA 6335 Hospital Pkwy, Suite 111, Johns Creek, GA 30097-1549 Ph: (770) 712-4616 | Lorri R South, CRNA 6335 Hospital Pkwy, Suite 111, Johns Creek, GA 30097-1549 Ph: (770) 712-4616 |
Sheila M Hanley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6335 Hospital Pkwy Ste 111, Attn: Credentialing Dept., Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Jacqueline Yoars, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy, Suite 304, Johns Creek, GA 30097 Phone: 404-778-8317 | |
Mona M Kobernus, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6335 Hospital Pkwy, Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Mrs. Emily Ramnarine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6325 Hospital Pkwy, Johns Creek, GA 30097 Phone: 678-474-7000 | |
Mrs. Laura A Gullicksen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6325 W Johns Xing, Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Alicia J Weissgerber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy Ste Ll17, Johns Creek, GA 30097 Phone: 404-778-8323 Fax: 770-495-1585 |