Mr Mark Anderson, NP-C | |
10 Doctors St, Metter, GA 30439-3337 | |
(912) 685-1571 | |
Not Available |
Full Name | Mr Mark Anderson |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 10 Doctors St, Metter, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386112456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN220654 (Georgia) | Primary |
Entity Name | Hospital Authority Of Candler County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588868947 PECOS PAC ID: 5294623948 Enrollment ID: O20040305000415 |
Entity Name | Privia Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Anderson, NP-C 130 Harry Hagan Rd, Pembroke, GA 31321-9670 Ph: (912) 433-4707 | Mr Mark Anderson, NP-C 10 Doctors St, Metter, GA 30439-3337 Ph: (912) 685-1571 |
Stacey Marie Clifton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10388 Ga Highway 23 N, Metter, GA 30439 Phone: 912-687-4660 | |
Ms. Miriam Higginbotham, C-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 380 Sconyers St, Metter, GA 30439 Phone: 912-685-1215 | |
James L Walker, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors Street, Metter, GA 31439 Phone: 912-685-5715 Fax: 912-685-3737 | |
Stephanie Ann Kostan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Doctors St, Metter, GA 30439 Phone: 912-685-5715 | |
Kathryn A. Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 S Leroy St, Metter, GA 30439 Phone: 912-685-4040 Fax: 912-685-4041 | |
Jean M Bailey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors St, Metter, GA 30439 Phone: 912-685-5715 Fax: 912-685-3461 |