Ms Virginia Ann Dupraw, FNP | |
209 Wes Park Dr Ste A, Perry, GA 31069-4829 | |
(784) 987-2578 | |
Not Available |
Full Name | Ms Virginia Ann Dupraw |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 209 Wes Park Dr Ste A, Perry, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245534544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN153403 NP (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN153403 (Georgia) | Primary |
Entity Name | Southeast Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
Mailing Address | Practice Location Address |
---|---|
Ms Virginia Ann Dupraw, FNP 866 Natures Walk, Gray, GA 31032-5892 Ph: (229) 947-0911 | Ms Virginia Ann Dupraw, FNP 209 Wes Park Dr Ste A, Perry, GA 31069-4829 Ph: (784) 987-2578 |
Kimberly R Hickman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Keith Dr, Perry, GA 31069 Phone: 478-988-8556 | |
Sarah Coxwell Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 Keith Dr, Perry, GA 31069 Phone: 478-988-1515 | |
Mr. Danny Raymond Farr Ii, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Kellwood Dr Ste 220a, Perry, GA 31069 Phone: 478-300-7020 | |
Carson Farrell Fay, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 277 Perry Pkwy Ste C, Perry, GA 31069 Phone: 478-988-6087 Fax: 478-988-6092 | |
Semetrius Trussell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Macon Rd Apt 532, Perry, GA 31069 Phone: 478-957-5830 | |
Crystal M. Belflower, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Keith Dr, Perry, GA 31069 Phone: 478-988-1100 Fax: 478-988-8211 | |
Mrs. Brittany Leigh Cooper, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 Morningside Dr, Perry, GA 31069 Phone: 478-988-3060 |