Mary Elizabeth Griffin, CPNP | |
1205 Us Highway 19 S, Leesburg, GA 31763-4878 | |
(229) 759-7028 | |
(229) 759-7030 |
Full Name | Mary Elizabeth Griffin |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1205 Us Highway 19 S, Leesburg, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447705827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | RN237321 (Georgia) | Primary |
Entity Name | Southwest Georgia Healthcare Clinics, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881867000 PECOS PAC ID: 9739457896 Enrollment ID: O20170613002024 |
Mailing Address | Practice Location Address |
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Mary Elizabeth Griffin, CPNP 1205 Us Highway 19 S, Leesburg, GA 31763-4878 Ph: (229) 759-7028 | Mary Elizabeth Griffin, CPNP 1205 Us Highway 19 S, Leesburg, GA 31763-4878 Ph: (229) 759-7028 |
Michelle Mendez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028 Fax: 229-759-7030 | |
Eddie Jean Truelove, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1578 Us Highway 19 S Apt 113, Leesburg, GA 31763 Phone: 901-603-5890 | |
Schvon Bussey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Pine Arbor Dr, Leesburg, GA 31763 Phone: 706-593-9263 | |
Mrs. April Michelle Johnson, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028 | |
Stacie L Rolland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-312-7490 Fax: 229-312-7495 | |
Imiyah Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1224 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-312-7401 | |
Gail Miranda Ricker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028 Fax: 229-759-7030 |