Ms Nykeba S Braddy, PA-C | |
1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | |
(912) 435-6633 | |
(912) 435-6633 |
Full Name | Ms Nykeba S Braddy |
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Gender | Female |
Speciality | Physician Assistant |
Location | 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942427513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA00548 (Rhode Island) | Secondary |
363A00000X | Physician Assistant | 6774 (Georgia) | Primary |
Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
---|---|
Ms Nykeba S Braddy, PA-C 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 Ph: (912) 435-6633 | Ms Nykeba S Braddy, PA-C 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 Ph: (912) 435-6633 |
Selina Marie Pooser, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-5965 | |
Kathy Wynkoop, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1912 Lindquist Road, Building 412, Fort Stewart, GA 31314 Phone: 912-435-5517 | |
Mr. Kenneth Bostic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Winn Army Community Hospital Ste1d03, Fort Stewart, GA 31314 Phone: 912-435-5254 | |
Mariaeugenia Sierra-donovan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 910-818-6396 | |
Mr. Andrew Gerber Mcphie, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-5965 | |
Kyla Renae Blackshear, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 Harmon Ave., Fort Stewart, GA 31314 Phone: 912-435-5924 | |
Daniel O'connor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-6965 |