| Kimberly Trammell, AGNP-BC | |
|
2101 Dutch Fork Rd, Chapin, SC 29036-7576 | |
| (910) 742-9243 | |
| (888) 746-1787 |
| Full Name | Kimberly Trammell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2101 Dutch Fork Rd, Chapin, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144603648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 19579 (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 19579 (South Carolina) | Primary |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Trammell, AGNP-BC Po Box 538622, Atlanta, GA 30353-8622 Ph: (910) 742-9243 | Kimberly Trammell, AGNP-BC 2101 Dutch Fork Rd, Chapin, SC 29036-7576 Ph: (910) 742-9243 |
Marcia Hindman Green, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Dutch Fork Rd, Chapin, SC 29036 Phone: 910-742-9243 Fax: 888-746-1787 | |
Jennifer Jones, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Virginia St, Chapin, SC 29036 Phone: 803-610-1723 | |
Dr. Debra Seegers, PHD, FNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 Dutch Fork Rd, Chapin, SC 29036 Phone: 910-742-9243 Fax: 888-746-1787 | |
Tamekia Ruff, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1375 Tamarind Ln, Chapin, SC 29036 Phone: 864-766-9061 | |
April Maranville Dowdee, MSN, APRN-BC, AE-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Island Dr, Chapin, SC 29036 Phone: 678-457-6882 | |
Denise Rallis-frutos, APN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 Dutch Fork Rd, Chapin, SC 29036 Phone: 910-742-9243 Fax: 888-746-1787 |