Shonda Souther, NP | |
542435 Us Highway 1, Callahan, FL 32011-3497 | |
(904) 507-4623 | |
Not Available |
Full Name | Shonda Souther |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 542435 Us Highway 1, Callahan, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346938222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN264027 (Georgia) | Primary |
Entity Name | Irwin County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720098791 PECOS PAC ID: 7618950643 Enrollment ID: O20040610001257 |
Entity Name | Ich Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487158135 PECOS PAC ID: 9537592084 Enrollment ID: O20191213002028 |
Mailing Address | Practice Location Address |
---|---|
Shonda Souther, NP 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 Ph: (205) 545-5088 | Shonda Souther, NP 542435 Us Highway 1, Callahan, FL 32011-3497 Ph: (904) 507-4623 |
Haylie Whittenburg, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-879-4233 | |
Alisha Cigalotti, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 866-359-2727 | |
Ms. Donna Lee Irwin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45377 Mickler St, Callahan, FL 32011 Phone: 904-879-2306 Fax: 904-879-6377 | |
Melissa Thick Cannon, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-879-4233 | |
Margo Walton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 866-389-2727 | |
Alexis Gill, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450077 State Road 200 Ste 12, Callahan, FL 32011 Phone: 904-633-0560 |