| Seth Gupton, NP | |
|
1129 N Main St Ste G, South Boston, VA 24592-2547 | |
| (434) 572-8196 | |
| (434) 572-8341 |
| Full Name | Seth Gupton |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1129 N Main St Ste G, South Boston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437815032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024183102 (Virginia) | Primary |
| Entity Name | Southern Gastroenterology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376659870 PECOS PAC ID: 0840383451 Enrollment ID: O20070912000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Seth Gupton, NP 53 Occoneechee Dr, Clarksville, VA 23927-3412 Ph: () - | Seth Gupton, NP 1129 N Main St Ste G, South Boston, VA 24592-2547 Ph: (434) 572-8196 |
Whitney Heather Rae Wilborn, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 Fax: 434-517-3989 | |
Amanda Igata, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 | |
Jon M Hughes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 | |
Mrs. Michelle Bender Gibson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2232 Wilborn Ave, Suite D, Hematology Oncology Practice Of Southside Va, Pc, South Boston, VA 24592 Phone: 434-575-1212 Fax: 434-575-1130 | |
Carrie Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-6565 | |
Jonette Talbott, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 | |
Brandi S Thompson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2232 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8977 |