| Mrs Lavona Constancia Wilson, NP | |
|
6120 Alabama Hwy, Ringgold, GA 30736-2804 | |
| (706) 935-6442 | |
| (706) 935-6441 |
| Full Name | Mrs Lavona Constancia Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6120 Alabama Hwy, Ringgold, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245677806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN208918 (Georgia) | Primary |
| Entity Name | Southside Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
| Entity Name | The Bortolazzo Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Entity Name | Community Holistic Advanced Practice Nurses Chapn Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992253322 PECOS PAC ID: 9830476795 Enrollment ID: O20170501002536 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lavona Constancia Wilson, NP 467 Kelly St Se, Atlanta, GA 30312-3006 Ph: (301) 717-5997 | Mrs Lavona Constancia Wilson, NP 6120 Alabama Hwy, Ringgold, GA 30736-2804 Ph: (706) 935-6442 |
Geneva Marie Record, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Battlefield Parkway, Suite 200, Ringgold, GA 30736 Phone: 706-861-4990 Fax: 706-861-9405 | |
Sandra Ann Martin, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 834 Capehart Rd, Ringgold, GA 30736 Phone: 706-673-6848 | |
Sarah E Steele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7494 Battlefield Pkwy, Ringgold, GA 30736 Phone: 706-935-5437 Fax: 706-935-3004 | |
Mrs. Patricia Annette Barrett, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6120 Alabama Hwy, Ringgold, GA 30736 Phone: 706-935-6442 Fax: 706-935-6441 | |
Heather English, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 Catoosa Cir, Ringgold, GA 30736 Phone: 706-406-2000 | |
Heather Lacey Tinker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6120 Alabama Hwy, Ringgold, GA 30736 Phone: 706-395-6442 | |
Savannah Michele Wilkey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6120 Alabama Hwy, Ringgold, GA 30736 Phone: 706-935-6442 |