| Dr Josephine Sterling Sagoo, | |
|
684 Sixes Rd, Holly Springs, GA 30115-8721 | |
| (678) 388-5485 | |
| (678) 388-5489 |
| Full Name | Dr Josephine Sterling Sagoo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 684 Sixes Rd, Holly Springs, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871275537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN274872 (Georgia) | Primary |
| Entity Name | Northside Primary Care Professional Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Josephine Sterling Sagoo, 684 Sixes Rd, Holly Springs, GA 30115-8721 Ph: (678) 388-5485 | Dr Josephine Sterling Sagoo, 684 Sixes Rd, Holly Springs, GA 30115-8721 Ph: (678) 388-5485 |
Mary Blalock, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Lake Reserve Way, Holly Springs, GA 30115 Phone: 770-354-0471 | |
Lora Eve Lyon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Wellstar Way Ste 105, Holly Springs, GA 30114 Phone: 678-494-2500 Fax: 678-494-2629 | |
Mindy Lynn Holcomb, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Wellstar Way Ste 201, Holly Springs, GA 30114 Phone: 470-267-0152 | |
Stacey Collene Cox, N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 684 Sixes Rd Ste 265, Holly Springs, GA 30115 Phone: 770-720-2221 Fax: 770-720-2282 | |
Bethany Ellen Kinsey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Wellstar Way Ste 204, Holly Springs, GA 30114 Phone: 470-267-0135 Fax: 770-999-2631 | |
Sherene Good, RN, CDE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 684 Sixes Rd Ste 265, Holly Springs, GA 30115 Phone: 770-720-2221 Fax: 770-720-2282 | |
Mrs. Hannah Van Weele, APRN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 684 Sixes Rd Ste 130, Holly Springs, GA 30115 Phone: 678-388-5485 Fax: 678-388-5489 |