Thanmayie Bethi, | |
4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | |
(404) 296-7133 | |
Not Available |
Full Name | Thanmayie Bethi |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4112 E Ponce De Leon Ave, Clarkston, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962038307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 246736 (Georgia) | Primary |
Entity Name | Mc Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356907695 PECOS PAC ID: 4183955974 Enrollment ID: O20191009000622 |
Mailing Address | Practice Location Address |
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Thanmayie Bethi, 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 Ph: () - | Thanmayie Bethi, 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 Ph: (404) 296-7133 |
Emily Howell Curia, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 470-406-0635 | |
Dr. Kimberley Anne Crawford, PHD, MPH, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Market St Ste E-1, Clarkston, GA 30021 Phone: 678-898-5731 | |
William Bodnar, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3701 College Ave, Clarkston, GA 30021 Phone: 678-383-1383 | |
Asmita Raut, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3660 Market St, Clarkston, GA 30021 Phone: 470-355-7896 | |
Anjana Khadka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3660 Market St, Clarkston, GA 30021 Phone: 470-355-7896 | |
Lilian Ayidi Vende, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4600 E Ponce De Leon Ave Ste A, Clarkston, GA 30021 Phone: 678-705-9685 | |
Rebekah Schicker, RN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Market St, Clarkston, GA 30021 Phone: 678-383-1383 |