Dr Jose Luis Gonzalez-roman, APRN, FNP-C | |
1201 Lower Fayetteville Rd Ste F, Newnan, GA 30265-6509 | |
(770) 400-8444 | |
Not Available |
Full Name | Dr Jose Luis Gonzalez-roman |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1201 Lower Fayetteville Rd Ste F, Newnan, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063187128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11012338 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | GAA-NP-000179 (Georgia) | Primary |
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
Mailing Address | Practice Location Address |
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Dr Jose Luis Gonzalez-roman, APRN, FNP-C 14254 Creek Run Dr, Riverview, FL 33579-6514 Ph: (678) 520-8558 | Dr Jose Luis Gonzalez-roman, APRN, FNP-C 1201 Lower Fayetteville Rd Ste F, Newnan, GA 30265-6509 Ph: (770) 400-8444 |
Leah Shupe, PAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 Highway 34 E, Newnan, GA 30265 Phone: 770-502-0202 Fax: 770-502-8822 | |
Ms. Charvette Gaitone Shumaker-kirk, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-7142 | |
Dena Michelle Singleton, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043 | |
Mitchell Boles, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1665 Highway 34 E Ste 100, Newnan, GA 30265 Phone: 770-252-7557 Fax: 770-252-7513 | |
Darlene Rene Crittenden, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 404-367-3014 | |
Felicia N. Onyeuku, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043 | |
Maafia A Osei-cheremeh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000 |