Margaret S Licavoli, | |
123 Weaver Rd Ste B, Blairsville, GA 30512-3155 | |
(170) 643-9648 | |
Not Available |
Full Name | Margaret S Licavoli |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 123 Weaver Rd Ste B, Blairsville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487399416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | RN168368 (Georgia) | Primary |
Entity Name | Sentinel Plastic Surgery Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265941413 PECOS PAC ID: 7911260120 Enrollment ID: O20180420000647 |
Mailing Address | Practice Location Address |
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Margaret S Licavoli, 351 E Highland St, Blue Ridge, GA 30513-4544 Ph: () - | Margaret S Licavoli, 123 Weaver Rd Ste B, Blairsville, GA 30512-3155 Ph: (170) 643-9648 |
Kendra Jordan Cook, APRN/NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 Weaver Rd Ste B, Blairsville, GA 30512 Phone: 706-835-3699 | |
Sherrie Ann Lalande, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 Deep South Farm Rd, Blairsville, GA 30512 Phone: 706-835-2235 Fax: 706-835-4141 | |
Jamie Rivkin Blalock, MS, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Earnest Dr, Blairsville, GA 30512 Phone: 706-745-8790 | |
Mrs. Elizabeth Marie Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Hospital Rd, Blairsville, GA 30512 Phone: 706-439-6860 Fax: 706-439-6865 | |
Anita Carol English, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Hospital Rd, Blairsville, GA 30512 Phone: 706-745-2111 | |
Ms. Ann-maxwell Searcy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 231 Highway 515, Ste 5, Blairsville, GA 30512 Phone: 706-745-8790 Fax: 706-745-8842 | |
Mr. Ronald Soelimto, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 346 Deep South Farm Rd Ste A, Blairsville, GA 30512 Phone: 706-745-9417 |