Ms Laura Martha Avila, FNP-C | |
221 The Esplanade Way Se, Loganville, GA 30052 | |
(678) 457-0610 | |
Not Available |
Full Name | Ms Laura Martha Avila |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 221 The Esplanade Way Se, Loganville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346738655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | RN182243 (Georgia) | Primary |
363LF0000X | Nurse Practitioner - Family | RN182243 (Georgia) | Secondary |
Entity Name | Peachtree Immediate Care Fp, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
Mailing Address | Practice Location Address |
---|---|
Ms Laura Martha Avila, FNP-C 221 The Esplanade Way Se, Loganville, GA 30052-2190 Ph: (678) 457-0610 | Ms Laura Martha Avila, FNP-C 221 The Esplanade Way Se, Loganville, GA 30052 Ph: (678) 457-0610 |
Gopika Naidu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Lee Byrd Road, Loganville, GA 30052 Phone: 770-466-5902 | |
Jennifer Davis, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 770-466-6112 | |
Hazuki Choe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 297 Cooper Rd, Loganville, GA 30052 Phone: 678-381-2630 | |
Lori G Roberts, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 678-527-6000 Fax: 770-466-6201 | |
Patience Emefa Akoto, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3505 Beaver Swamp Rd, Loganville, GA 30052 Phone: 678-847-8565 | |
Johanne Dastine-coriolan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4344 Grove Lake St, Loganville, GA 30052 Phone: 770-696-1350 | |
Mrs. Kimberly Denise Pegues, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3869 Highway 81, Loganville, GA 30052 Phone: 678-635-8650 |