Staci Shonte' Glee, PT, DPT | |
2267 Memorial Dr Ste 300, Waycross, GA 31501-0902 | |
(912) 285-1927 | |
(912) 285-1929 |
Full Name | Staci Shonte' Glee |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2267 Memorial Dr Ste 300, 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 |
---|---|---|---|
1700471331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT015122 (Georgia) | Primary |
Provider Name | Independent Physical Therapy Of Georgia Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
Mailing Address | Practice Location Address |
---|---|
Staci Shonte' Glee, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Staci Shonte' Glee, PT, DPT 2267 Memorial Dr Ste 300, Waycross, GA 31501-0902 Ph: (912) 285-1927 |
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 | |
Mrs. Audrey D. Jernigan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 Pineview Dr., Waycross, GA 31501 Phone: 912-285-2361 Fax: 912-285-0571 | |
Wade Benjmain Norris Iii, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 |