Sueanne Davidson, NP | |
108 5th St Ne, Aliceville, AL 35442-2200 | |
(205) 373-3945 | |
Not Available |
Full Name | Sueanne Davidson |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 108 5th St Ne, Aliceville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508806308 | NPI | - | NPPES |
562251777 | Other | MS | BLUE CROSS |
P00191280 | Other | MS | RAILROAD MEDICARE |
08470589 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-06250 (Alabama) | Secondary |
363L00000X | Nurse Practitioner | R865907 (Mississippi) | Primary |
Entity Name | Medserve, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871883223 PECOS PAC ID: 8628253978 Enrollment ID: O20110429000564 |
Entity Name | Cogent Healthcare Of Decatur, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386695500 PECOS PAC ID: 0446141972 Enrollment ID: O20230426000839 |
Mailing Address | Practice Location Address |
---|---|
Sueanne Davidson, NP Po Box 211, Carrollton, AL 35447-0211 Ph: (205) 399-1433 | Sueanne Davidson, NP 108 5th St Ne, Aliceville, AL 35442-2200 Ph: (205) 373-3945 |
Mrs. Nanette Dykes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 5th St Ne, Aliceville, AL 35442 Phone: 205-373-3945 Fax: 205-373-3386 | |
Mary Gentry, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 5th St Ne, Aliceville, AL 35442 Phone: 205-373-1574 | |
Mrs. Amy Branyon Bigham, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Carrollton Rd Ste B, Aliceville, AL 35442 Phone: 205-373-6323 Fax: 205-373-2544 | |
Janie Coleman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 17th St Nw, Aliceville, AL 35442 Phone: 205-373-6307 |