Vickie L Graham, NP | |
1913 Palmyra Rd, Albany, GA 31701-1574 | |
(706) 354-5770 | |
(706) 354-5769 |
Full Name | Vickie L Graham |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1913 Palmyra Rd, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124330030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN165086 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 25365 (South Carolina) | Primary |
Entity Name | Phoebe Putney Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
Entity Name | Georgia Em-i Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285682583 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
Entity Name | Tift Regional Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
Entity Name | Phoebe Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Entity Name | Palmyra Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558635003 PECOS PAC ID: 5799947503 Enrollment ID: O20120424000168 |
Mailing Address | Practice Location Address |
---|---|
Vickie L Graham, NP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (803) 434-1335 | Vickie L Graham, NP 1913 Palmyra Rd, Albany, GA 31701-1574 Ph: (706) 354-5770 |
Israel Saucedo, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Brittany Pines, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 W 3rd Ave, Suite 105, Albany, GA 31701 Phone: 229-312-2380 | |
Rhonda Jeannean Haynes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Scarlett Ann Wade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 5th Ave, Albany, GA 31701 Phone: 229-883-4555 Fax: 229-888-0063 | |
Josiane K Ewiah, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 W 4th Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Susan Darlene Boyett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2402 Osler Ct, Albany, GA 31707 Phone: 229-438-3300 Fax: 229-438-4651 | |
Ms. Beverly Ann Willis, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2173 Fax: 229-434-2548 |