Shardae Portee, | |
966a Killian Hill Rd Sw, Lilburn, GA 30047-3102 | |
(770) 923-4815 | |
Not Available |
Full Name | Shardae Portee |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Hand |
Location | 966a Killian Hill Rd Sw, Lilburn, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386185460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | OT006777 (Georgia) | Primary |
Provider Name | Carolina Orthopaedic And Neurosurgical Associates |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568454056 PECOS PAC ID: 5991695975 Enrollment ID: O20040316000553 |
Mailing Address | Practice Location Address |
---|---|
Shardae Portee, 6250 Riverview Rd Se Apt 2116, Smyrna, GA 30126-2979 Ph: (803) 372-7151 | Shardae Portee, 966a Killian Hill Rd Sw, Lilburn, GA 30047-3102 Ph: (770) 923-4815 |
Sarah Williams, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2632 Cliffview Dr Sw, Lilburn, GA 30047 Phone: 770-625-6144 | |
Karen Bomar Nickerson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 76a Camp Creek Rd Sw, Lilburn, GA 30047 Phone: 404-805-6482 | |
Chamundi Guyton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1629 Rocky Top Dr Sw, Lilburn, GA 30047 Phone: 404-740-5070 | |
Mrs. Humera Shams Savaja, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Runnymede Dr Sw, Lilburn, GA 30047 Phone: 404-547-2027 | |
Believe & Conquer Therapeutic Services Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1112 Holly Hills Dr Sw, Lilburn, GA 30047 Phone: 678-391-3345 | |
Krystal Newkirk, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4851 Lula St Nw, Lilburn, GA 30047 Phone: 678-697-6049 |