Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
Allen, Chakita Miesha CFA | 24 Halyard Dr Port Wentworth GA 31407-9755 | 912-507-0413 | 208600000X | 1891342135 |
Bumgardner, Heather N NURSE PRACTITIONER | 7306 Ga Highway 21 Suite 106 Port Wentworth GA 31407-9274 | 912-826-1500 | 363LA2200X | 1679980668 |
Carter, Dawn Rachelle | 19 Lanvale St Port Wentworth GA 31407-9763 | 912-963-6742 | 171M00000X | 1205058161 |
Cooper, Latoya Sophia | 300 Magnolia Blvd Apt 102 Port Wentworth GA 31407-3448 | 912-429-4844 | 251E00000X | 1114454642 |
MEDICAID GA : 2600 |
Duncan, Mrs. Aundra J M.S, CCC-SLP | 2 Lake Shore Blvd Port Wentworth GA 31407-3610 | 912-417-6302 | 235Z00000X | 1780190256 |
Durden, Dr. Kenneith LPC | 7306 Ga Highway 21 Ste 101-225 Port Wentworth GA 31407-9274 | 404-909-2442 | 101YP2500X | 1184895930 |
Gomez, Jefferson Rabo OTR/L | 26 Rice Mill Rd Port Wentworth GA 31407-6022 | 732-318-1930 | 225X00000X | 1437430006 |
Herndon, Patsy | 63 Old Mill Rd Port Wentworth GA 31407-6003 | 313-410-9692 | 101YP2500X | 1619567104 |
Jaster, Mrs. Kristal Lynne PA-C | 7306 Ga Highway 21 Ste 105 Port Wentworth GA 31407-9275 | 912-966-2575 | 124Q00000X | 1689768673 |
OTHER GA PHYSICIAN ASSISTANT LICENSE : 007452 |
Ladson, Mrs. Gwendolyn Renee LAPC | 13 Gimbal Cir Port Wentworth GA 31407-8522 | 912-227-4973 | 101Y00000X | 1255676045 |
Odimgbe, Chizoba | 18 Raintree Way Port Wentworth GA 31407-3605 | 912-237-1681 | 183500000X | 1477182012 |
OTHER GA GEORGIA BOARD OF PHARMACY : RPH030626 |
Smith, Felicia LPC | 12 Fox Glen Ct Port Wentworth GA 31407-3621 | 706-872-9023 | 101YA0400X | 1063959344 |
Thomas, Angel ARDMS, RVT | 21 Lake Shore Blvd Port Wentworth GA 31407-3612 | 912-704-1053 | 2085U0001X | 1033738570 |
Wells, Mr. Jamie FNP-BC | 7300 Ga Highway 21 Port Wentworth GA 31407-9205 | 912-964-1797 | 363LF0000X | 1568881217 |
Williams, Shannon LDO | 34 Birch Cir Port Wentworth GA 31407-3376 | 912-650-1161 | 156FC0800X | 1508405952 |
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