Sandra Elaine Dubose, FNP | |
1631 Gordon Hwy Ste 17a, Augusta, GA 30906-2229 | |
(706) 230-7006 | |
(762) 257-7442 |
Full Name | Sandra Elaine Dubose |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1631 Gordon Hwy Ste 17a, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548264047 | NPI | - | NPPES |
NP0278 | Medicaid | SC | |
000829595A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 129 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN103532 (Georgia) | Primary |
Entity Name | Wal-mart Stores East , Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922415165 PECOS PAC ID: 6204749997 Enrollment ID: O20141024000133 |
Mailing Address | Practice Location Address |
---|---|
Sandra Elaine Dubose, FNP Po Box 740015, Atlanta, GA 30374-0015 Ph: (312) 733-9730 | Sandra Elaine Dubose, FNP 1631 Gordon Hwy Ste 17a, Augusta, GA 30906-2229 Ph: (706) 230-7006 |
Mr. Robert Scott Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8549 | |
Veronica Bradford, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2467 Golden Camp Rd, Augusta, GA 30906 Phone: 706-790-4440 | |
Nadia Reese, AGACNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3604 Wheeler Rd Ste E, Augusta, GA 30909 Phone: 706-432-1111 | |
Britney Wilkinson, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 15th St # Or-6000, Augusta, GA 30912 Phone: 706-726-9257 | |
Kristin Anderson Hannah, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Rd, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8735 | |
Magen Brooke Luke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 | |
Dr. Suzanne Dixson Thomas, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1916 N Leg Rd, Family Health Coordinator, East Central Health District, Augusta, GA 30909 Phone: 706-667-4285 Fax: 706-667-4607 |