Mrs Audrey D Jernigan, | |
301 Pineview Dr., Waycross, GA 31501 | |
(912) 285-2361 | |
(912) 285-0571 |
Full Name | Mrs Audrey D Jernigan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 301 Pineview Dr., Waycross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245363688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT001243 (Georgia) | Primary |
Provider Name | Pineview Physical Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215196258 PECOS PAC ID: 3173693728 Enrollment ID: O20080609000364 |
Provider Name | Sports Medicine And Rehab Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396079224 PECOS PAC ID: 1658415054 Enrollment ID: O20100224000010 |
Mailing Address | Practice Location Address |
---|---|
Mrs Audrey D Jernigan, 301 Pineview Dr, Waycross, GA 31501-5229 Ph: (912) 285-2361 | Mrs Audrey D Jernigan, 301 Pineview Dr., Waycross, GA 31501 Ph: (912) 285-2361 |
Benchmark Pt - Waycross Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2478 Memorial Dr, Waycross, GA 31503 Phone: 912-285-1927 Fax: 912-285-1929 | |
Dr. Mary Catherine Wysong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Preston St, Waycross, GA 31501 Phone: 912-283-7342 Fax: 912-283-7402 | |
Hazel Blaylock-lawson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 W Oneida St, Waycross, GA 31501 Phone: 912-283-3046 Fax: 912-283-9289 | |
Taylor Lane, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 | |
Ware County Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 Preston St, Waycross, GA 31501 Phone: 912-283-7342 Fax: 912-283-7402 | |
Wade Benjmain Norris Iii, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 |