Maxine Mcgowan, MSN, PHD, FNP-C | |
3866 Augustine Pl, Rex, GA 30273-5822 | |
(678) 343-1257 | |
(770) 507-2352 |
Full Name | Maxine Mcgowan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 3866 Augustine Pl, Rex, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407907371 | NPI | - | NPPES |
8482306 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26NR07760600 (New Jersey) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | RN201165 (Georgia) | Primary |
Entity Name | Tapestry Telehealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20180314000320 |
Mailing Address | Practice Location Address |
---|---|
Maxine Mcgowan, MSN, PHD, FNP-C 6571 Yarbrough Dr, Fairburn, GA 30213-4649 Ph: (678) 343-1257 | Maxine Mcgowan, MSN, PHD, FNP-C 3866 Augustine Pl, Rex, GA 30273-5822 Ph: (678) 343-1257 |
Ms. Janarra Kathryn Mallory-crawford, MSN, RN, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6190 Pembroke Dr, Rex, GA 30273 Phone: 908-227-5047 | |
Shakir L Gabriel, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3218 Poplar Ridge Dr, Rex, GA 30273 Phone: 770-896-2392 | |
Ms. Alecia Ann Czarnecki, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6240 Crooked Creek Dr, Rex, GA 30273 Phone: 404-273-3480 Fax: 866-860-7253 |