Melanie J Outlaw, NP-C | |
903 Ward St W, Suite A, Douglas, GA 31533-3517 | |
(912) 260-1191 | |
(912) 260-1193 |
Full Name | Melanie J Outlaw |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 903 Ward St W, Douglas, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952701724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN112116 (Georgia) | Primary |
Entity Name | Sgmp Southland, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20130812000452 |
Entity Name | Coffee County Hospitalist Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811435464 PECOS PAC ID: 1153696117 Enrollment ID: O20171002002498 |
Mailing Address | Practice Location Address |
---|---|
Melanie J Outlaw, NP-C 1111 Glynco Pkwy, Bldg 1 Ste10, Brunswick, GA 31525-7921 Ph: (912) 534-6485 | Melanie J Outlaw, NP-C 903 Ward St W, Suite A, Douglas, GA 31533-3517 Ph: (912) 260-1191 |
Jennifer Kay Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Connector 206 N, Douglas, GA 31533 Phone: 912-389-6885 Fax: 912-393-1015 | |
Taylor Lamar Gibson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste O, Douglas, GA 31533 Phone: 912-383-5655 Fax: 912-389-2117 | |
Mrs. Shanda Deleice Carter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-383-6966 | |
Mrs. Nancy Danielle Collins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Ward St W Ste B, Douglas, GA 31533 Phone: 912-384-4111 Fax: 912-384-4117 | |
Kera Ashlyn Malphus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Ward St W, Douglas, GA 31533 Phone: 912-384-7210 | |
Patricia Arasely Jaimes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 | |
Linda Michelle Bixler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-384-8214 |