Mrs Kimberly Davis Bennett, NP-C | |
1104 Thelma Hwy, Homerville, GA 31634-3548 | |
(229) 588-1185 | |
Not Available |
Full Name | Mrs Kimberly Davis Bennett |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1104 Thelma Hwy, Homerville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457036857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN202112 (Georgia) | Primary |
Entity Name | Valdosta Family Medicine Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114003779 PECOS PAC ID: 5991791683 Enrollment ID: O20040420001241 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly Davis Bennett, NP-C 1104 Thelma Hwy, Homerville, GA 31634-3548 Ph: (229) 588-1185 | Mrs Kimberly Davis Bennett, NP-C 1104 Thelma Hwy, Homerville, GA 31634-3548 Ph: (229) 588-1185 |
Betsy Daugharty Clifton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 Carswell St, Homerville, GA 31634 Phone: 912-487-1654 Fax: 912-487-1659 | |
Lynn Fletcher, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Huxford St, Homerville, GA 31634 Phone: 912-470-2273 Fax: 912-470-2630 | |
Mr. Jesse Mckinnon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 Huxford St, Homerville, GA 31634 Phone: 229-561-5592 | |
Mrs. Heather Minshew, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Huxford St, Homerville, GA 31634 Phone: 912-470-2273 |