| Kristie Lee Tziahanas, PA-C | |
|
128 Raymond Hirsch Pkwy, St 1, White House, TN 37188-8193 | |
| (615) 672-8118 | |
| (615) 672-4850 |
| Full Name | Kristie Lee Tziahanas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 128 Raymond Hirsch Pkwy, White House, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912571449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4711 (Tennessee) | Primary |
| Entity Name | Vip Midsouth, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487737912 PECOS PAC ID: 1759272982 Enrollment ID: O20040324001304 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristie Lee Tziahanas, PA-C 128 Raymond Hirsch Pkwy, White House, TN 37188-8193 Ph: (615) 672-8118 | Kristie Lee Tziahanas, PA-C 128 Raymond Hirsch Pkwy, St 1, White House, TN 37188-8193 Ph: (615) 672-8118 |
Leilani Hope Victor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 607 Highway 76, White House, TN 37188 Phone: 615-616-9415 |
Gabriella Elizabeth Converse, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 128 Raymond Hirsch Pkwy, White House, TN 37188 Phone: 615-672-3027 |
Brittany Jepson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 121 Highway 76, White House, TN 37188 Phone: 615-672-5575 Fax: 615-672-5405 |
Azita Saleh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 607 Highway 76, White House, TN 37188 Phone: 615-616-9415 |
Michael A Giblin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 491 Sage Rd N Ste 800, White House, TN 37188 Phone: 615-672-4089 Fax: 615-672-7849 |
Hayley Richardson Sechler, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 326 West Dr, White House, TN 37188 Phone: 615-681-5562 Fax: 615-581-1299 |