Mrs Latisha Mckenzie, NURSE PRACTITIONER | |
23 Old School Rd, Georgetown, GA 39854-4627 | |
(229) 334-9353 | |
Not Available |
Full Name | Mrs Latisha Mckenzie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 23 Old School Rd, Georgetown, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821769878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | GAA-NP001043 (Georgia) | Primary |
Entity Name | Careconnect Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286 |
Mailing Address | Practice Location Address |
---|---|
Mrs Latisha Mckenzie, NURSE PRACTITIONER 23 Old School Rd, Georgetown, GA 39854-4627 Ph: (229) 334-9353 | Mrs Latisha Mckenzie, NURSE PRACTITIONER 23 Old School Rd, Georgetown, GA 39854-4627 Ph: (229) 334-9353 |
Ms. Aretha Tinson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Old School Rd, Georgetown, GA 39854 Phone: 229-334-9353 Fax: 229-334-6983 | |
Ms. Carmen Campbell Trawick, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Old School Rd, Georgetown, GA 39854 Phone: 229-334-9353 Fax: 229-334-6983 |