Youjin Walsh, | |
1325 Satellite Blvd Nw Ste 701a, Suwanee, GA 30024-4676 | |
(470) 230-0301 | |
Not Available |
Full Name | Youjin Walsh |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 1325 Satellite Blvd Nw Ste 701a, Suwanee, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447038252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN248923 (Georgia) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | RN248923 (Georgia) | Primary |
Entity Name | Northside Cv Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821612938 PECOS PAC ID: 4880003771 Enrollment ID: O20210505001504 |
Mailing Address | Practice Location Address |
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Youjin Walsh, 1848 Autumn Sage Dr, Dacula, GA 30019-7280 Ph: (470) 230-0301 | Youjin Walsh, 1325 Satellite Blvd Nw Ste 701a, Suwanee, GA 30024-4676 Ph: (470) 230-0301 |
Lindsey Nye Davis, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6918 Mcginnis Ferry Rd, Suwanee, GA 30024 Phone: 770-622-5758 | |
Ms. Kimberly Erika Dowe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 185 Old Peachtree Rd Nw, Suwanee, GA 30024 Phone: 678-937-0300 Fax: 678-405-1660 | |
Linda Esosa Uwakwe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5215 Corbin Ct, Suwanee, GA 30024 Phone: 404-567-9442 | |
Amavwia Okivie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 961 Heathchase Dr, Suwanee, GA 30024 Phone: 678-463-5695 | |
Jasmine Rose Ling Duan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024 Phone: 678-402-9550 Fax: 675-802-5765 | |
Joseph Kim, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2685 Peachtree Pkwy, Suwanee, GA 30024 Phone: 770-771-5260 | |
Haritha Bommana, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4300 Westbrook Rd Bldg A, Suwanee, GA 30024 Phone: 678-765-7550 |