Paula L Bennett, RNC | |
220 Northside Drive, Valdosta, GA 31602 | |
(229) 241-2800 | |
(229) 241-0454 |
Full Name | Paula L Bennett |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 220 Northside Drive, Valdosta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750467452 | NPI | - | NPPES |
00530417B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R060585 (Georgia) | Primary |
Entity Name | Southern Ob Gyn Associates P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801951454 PECOS PAC ID: 8729059043 Enrollment ID: O20040802000950 |
Mailing Address | Practice Location Address |
---|---|
Paula L Bennett, RNC 220 Northside Drive, Valdosta, GA 31602 Ph: (229) 241-2800 | Paula L Bennett, RNC 220 Northside Drive, Valdosta, GA 31602 Ph: (229) 241-2800 |
John Stephen Dodd, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4340 Fax: 259-259-4341 | |
Vicki Wetter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3120 N Oak Street Ext Ste G, Valdosta, GA 31602 Phone: 229-671-6130 Fax: 229-671-6764 | |
Lindsey C Mcclain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-242-6061 Fax: 229-242-6151 | |
Ms. Barbara Ann Pearce, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4233 Camelot Xing, Valdosta, GA 31602 Phone: 229-469-4383 Fax: 229-469-4584 | |
Mr. Nathan Kelly Roberson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4340 Kings Way, Valdosta, GA 31602 Phone: 229-333-9736 | |
Mr. Robert Donald Keen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2602 Rolling Rd, Valdosta, GA 31602 Phone: 229-560-4575 | |
William Thomas Mulligan Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2409 N Patterson St # F3, Valdosta, GA 31602 Phone: 229-433-8160 |