Tara Daniel, | |
1044 Bermuda Run, Statesboro, GA 30458-3045 | |
(912) 871-4847 | |
Not Available |
Full Name | Tara Daniel |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1044 Bermuda Run, Statesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598308561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN227792 (Georgia) | Primary |
Entity Name | Hospital Authority Of Candler County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588868947 PECOS PAC ID: 5294623948 Enrollment ID: O20040305000415 |
Mailing Address | Practice Location Address |
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Tara Daniel, 83 Old Groveland Rd, Pembroke, GA 31321-3164 Ph: () - | Tara Daniel, 1044 Bermuda Run, Statesboro, GA 30458-3045 Ph: (912) 871-4847 |
Jenna Cottrell, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Brannen St, Statesboro, GA 30458 Phone: 912-871-6611 | |
Mrs. Kacy H. Nesmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2273 | |
Tina L. Hathaway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744 | |
Mrs. Qian Tang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444 | |
Jennifer Reddish Coulter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1094 Bermuda Run, Statesboro, GA 30458 Phone: 912-681-3111 | |
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Altman St, Statesboro, GA 30458 Phone: 912-764-0737 | |
Ms. Connie June Barnett, RN, MSN, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23702 Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090 |