Sophia Thuy Vi Brune-herrera Le, | |
3020 Highway 124, Snellville, GA 30039-4614 | |
(770) 978-1331 | |
(770) 978-8580 |
Full Name | Sophia Thuy Vi Brune-herrera Le |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3020 Highway 124, Snellville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447945167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN279397 (Georgia) | Primary |
Entity Name | Peachtree Immediate Care Fp, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
Mailing Address | Practice Location Address |
---|---|
Sophia Thuy Vi Brune-herrera Le, 704 Zoysia Ln, Lawrenceville, GA 30046-6061 Ph: (404) 451-0205 | Sophia Thuy Vi Brune-herrera Le, 3020 Highway 124, Snellville, GA 30039-4614 Ph: (770) 978-1331 |
Jason R Casey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1557 Janmar Rd, Snellville, GA 30078 Phone: 678-344-8900 Fax: 678-666-5201 | |
Aneka Fawn Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Tree Ln Ste 250, Snellville, GA 30078 Phone: 770-736-6300 | |
Yovanie Jean-pierre, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2986 Elizabeth Ln, Snellville, GA 30078 Phone: 404-694-7588 | |
Mrs. Katherine Evans Davis, RNC, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-876-7464 | |
Tayana Buchanan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 404-610-0205 | |
Dr. Angella Samuels, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2795 Main St W Bldg 21, New Horizons Family Clinic, Snellville, GA 30078 Phone: 770-248-1637 Fax: 770-248-1638 | |
Shannon Maria Saroka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 Fountain Dr Ste D, Snellville, GA 30078 Phone: 770-982-7790 Fax: 770-982-7795 |