Nyala Becky Azangue, | |
5126 Hospital Dr Ne, Covington, GA 30014-2566 | |
(404) 428-0608 | |
Not Available |
Full Name | Nyala Becky Azangue |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5126 Hospital Dr Ne, Covington, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013785146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN230501 (Georgia) | Primary |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Mak Anesthesia Northside Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
Mailing Address | Practice Location Address |
---|---|
Nyala Becky Azangue, 3778 Broadleaf Walk, Snellville, GA 30039-6052 Ph: (404) 428-0608 | Nyala Becky Azangue, 5126 Hospital Dr Ne, Covington, GA 30014-2566 Ph: (404) 428-0608 |
Dexter Cicero Poss, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-786-7053 | |
Kathleen Hurlbut Gangl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-478-9877 | |
Dadonna M Marshall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-478-9877 Fax: 770-478-2908 |