Ms Carlene Mceachron, FNP | |
101 Marietta St Nw, Ste 350, Atlanta, GA 30303-2720 | |
(404) 947-5800 | |
Not Available |
Full Name | Ms Carlene Mceachron |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 101 Marietta St Nw, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134594351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN162976 (Georgia) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863 |
Mailing Address | Practice Location Address |
---|---|
Ms Carlene Mceachron, FNP 2890 Ga Hwy 212, Suite A- 122, Conyers, GA 30094 Ph: () - | Ms Carlene Mceachron, FNP 101 Marietta St Nw, Ste 350, Atlanta, GA 30303-2720 Ph: (404) 947-5800 |
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Ashley Rae Gore, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 Collier Rd Nw, Suite 300, Atlanta, GA 30309 Phone: 404-605-2800 Fax: 404-351-5983 | |
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