Marietta Pana Olaivar-lomboy, NP | |
1018 Keith Drive, Suite A, Perry, GA 31069-2948 | |
(478) 987-7444 | |
(478) 987-7747 |
Full Name | Marietta Pana Olaivar-lomboy |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1018 Keith Drive, Perry, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699786327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 118138 (Georgia) | Primary |
Entity Name | South Houston Internal Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619089653 PECOS PAC ID: 1850398306 Enrollment ID: O20061026000247 |
Mailing Address | Practice Location Address |
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Marietta Pana Olaivar-lomboy, NP 1018 Keith Dr, Suite A, Perry, GA 31069-2947 Ph: (478) 987-7444 | Marietta Pana Olaivar-lomboy, NP 1018 Keith Drive, Suite A, Perry, GA 31069-2948 Ph: (478) 987-7444 |
Kimberly R Hickman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Keith Dr, Perry, GA 31069 Phone: 478-988-8556 | |
Sarah Coxwell Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 Keith Dr, Perry, GA 31069 Phone: 478-988-1515 | |
Mr. Danny Raymond Farr Ii, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Kellwood Dr Ste 220a, Perry, GA 31069 Phone: 478-300-7020 | |
Carson Farrell Fay, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 277 Perry Pkwy Ste C, Perry, GA 31069 Phone: 478-988-6087 Fax: 478-988-6092 | |
Semetrius Trussell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Macon Rd Apt 532, Perry, GA 31069 Phone: 478-957-5830 | |
Crystal M. Belflower, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Keith Dr, Perry, GA 31069 Phone: 478-988-1100 Fax: 478-988-8211 | |
Mrs. Brittany Leigh Cooper, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 Morningside Dr, Perry, GA 31069 Phone: 478-988-3060 |