Sarah Marie Brock, FNP | |
4222 Fairbanks Dr, Oakwood, GA 30566-2811 | |
(770) 534-6053 | |
(770) 534-6695 |
Full Name | Sarah Marie Brock |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4222 Fairbanks Dr, Oakwood, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366145708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN282885 (Georgia) | Primary |
163WE0003X | Registered Nurse - Emergency | RN282885 (Georgia) | Secondary |
Entity Name | The Longstreet Clinic, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Mailing Address | Practice Location Address |
---|---|
Sarah Marie Brock, FNP Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Sarah Marie Brock, FNP 4222 Fairbanks Dr, Oakwood, GA 30566-2811 Ph: (770) 534-6053 |
Ms. Deborah E Agbator, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4239 Mundy Mill Rd, Medcity Urgent And Primary Care, Oakwood, GA 30566 Phone: 470-290-8290 | |
Susan S Moua, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3626 Old Oakwood Rd, Oakwood, GA 30566 Phone: 301-357-9751 | |
Mrs. Michelle Johnson Nastav, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6695 | |
Crystal Butler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6695 | |
Elizabeth Belle Wheeler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6695 | |
Mrs. Phyllis Nadeau Landers, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6695 | |
Trinell Robertson, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3931 Mundy Mill Rd Ste C, Oakwood, GA 30566 Phone: 770-219-8275 |