| Sidney Donette Medina, | |
|
1075 Lafayette Pkwy, Lagrange, GA 30241-3504 | |
| (706) 443-5273 | |
| Not Available |
| Full Name | Sidney Donette Medina |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 1075 Lafayette Pkwy, Lagrange, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437861168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | GAA-NP001222 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney Donette Medina, 123 Butts St, Fort Benning, GA 31905-2303 Ph: () - | Sidney Donette Medina, 1075 Lafayette Pkwy, Lagrange, GA 30241-3504 Ph: (706) 443-5273 |
Jennifer Nichole Speelman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240 Phone: 706-882-1191 | |
Maria Ann Daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Building 200, Lagrange, GA 30240 Phone: 706-884-2641 Fax: 706-884-2353 | |
Notoya Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241 Phone: 706-443-5273 Fax: 762-323-1014 | |
Anna Odom, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1602 Vernon Rd, Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Harry Rafael Sevilla Abilla, NP-C, CRNA, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 North Davis Street, Lagrange, GA 30240 Phone: 706-812-4068 | |
Joni Lee Winter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3706 Fax: 706-845-2193 | |
John Thomas Veal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Broome St, Lagrange, GA 30240 Phone: 706-954-6750 |