Susan Dixon-sibley, | |
1200 Abernathy Rd Ste 1700, Atlanta, GA 30328-5671 | |
(770) 325-0636 | |
(855) 737-5542 |
Full Name | Susan Dixon-sibley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1200 Abernathy Rd Ste 1700, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912426842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN217273 (Georgia) | Primary |
Entity Name | Carelon Medical Partners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160825001659 |
Entity Name | Sf Georgia Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841857794 PECOS PAC ID: 6709110943 Enrollment ID: O20190622000066 |
Entity Name | Infinite Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20201119003156 |
Mailing Address | Practice Location Address |
---|---|
Susan Dixon-sibley, 333 Commerce St Ste 700, Nashville, TN 37201-1835 Ph: (615) 627-2293 | Susan Dixon-sibley, 1200 Abernathy Rd Ste 1700, Atlanta, GA 30328-5671 Ph: (770) 325-0636 |
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