Samantha Tatum Hardison, | |
1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | |
(919) 734-6676 | |
Not Available |
Full Name | Samantha Tatum Hardison |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 1706 Wayne Memorial Dr, Goldsboro, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922490788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Waynesboro Family Clinic | 3274445903 | 9 |
Entity Name | Waynesboro Family Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760417570 PECOS PAC ID: 3274445903 Enrollment ID: O20031103000145 |
Mailing Address | Practice Location Address |
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Samantha Tatum Hardison, 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 Ph: () - | Samantha Tatum Hardison, 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 Ph: (919) 734-6676 |
Beverly Charmaine Cates, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119 | |
Katrina C Williams, CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 E Ash St Ste 300, Goldsboro, NC 27530 Phone: 919-709-1692 | |
Crystal Daye Price, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 | |
Mrs. Mary Anita Vannoske, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 Fax: 919-734-9050 | |
Mr. Albert Bernard Barron, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 Cashwell Dr Ste 3, Goldsboro, NC 27534 Phone: 919-751-8989 Fax: 919-751-1616 | |
Tammy Denise Oxendine, LCSW-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 | |
Philip Pennington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 Fax: 919-734-9050 |