Sandra T Hendrickson, | |
604 Riverside Ave, Waycross, GA 31501-5323 | |
(912) 287-4863 | |
(912) 287-5875 |
Full Name | Sandra T Hendrickson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 604 Riverside Ave, Waycross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558646901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | RN080911 (Georgia) | Primary |
Entity Name | Bulloch County Board Of Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417985060 PECOS PAC ID: 5193710481 Enrollment ID: O20040416000581 |
Entity Name | Harrison C Carter Md |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619174091 PECOS PAC ID: 6709871635 Enrollment ID: O20040419001226 |
Entity Name | Coffee County Board Of Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952346074 PECOS PAC ID: 7416944087 Enrollment ID: O20040427000232 |
Mailing Address | Practice Location Address |
---|---|
Sandra T Hendrickson, 1101 Church St, Waycross, GA 31501-3525 Ph: (912) 287-4863 | Sandra T Hendrickson, 604 Riverside Ave, Waycross, GA 31501-5323 Ph: (912) 287-4863 |
Barbara D Pittman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710 Fax: 912-548-0071 | |
Robert Scott Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403a Lister St, Waycross, GA 31501 Phone: 912-283-4422 Fax: 912-283-4866 | |
Mr. James Aaron Houser, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1206 Alice St, Waycross, GA 31501 Phone: 912-285-1140 Fax: 912-285-1125 | |
Dawn Lynn Driggers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 1/2 Alice St, Waycross, GA 31501 Phone: 912-614-3768 | |
Kala Hodges, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 229-391-3500 | |
Ms. Andrea M Deloach, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Knight Ave, Waycross, GA 31501 Phone: 912-283-9423 Fax: 912-283-2946 | |
Mrs. Jennifer Miller Rafus, M.S., FNP, LIC. AC. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710 |