Kytrena L Harris, | |
3618 J Dewey Gray Cir, Augusta, GA 30909-1867 | |
(731) 394-1145 | |
Not Available |
Full Name | Kytrena L Harris |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3618 J Dewey Gray Cir, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427600469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | RN196971 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN196971 (Georgia) | Primary |
Entity Name | Ultra Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20220916000007 |
Entity Name | Ultra Health Providers Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033956057 PECOS PAC ID: 5395284616 Enrollment ID: O20240829003110 |
Mailing Address | Practice Location Address |
---|---|
Kytrena L Harris, 232 Seaton Ave, Grovetown, GA 30813-4259 Ph: (478) 494-8441 | Kytrena L Harris, 3618 J Dewey Gray Cir, Augusta, GA 30909-1867 Ph: (731) 394-1145 |
Mr. Robert Scott Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8549 | |
Veronica Bradford, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2467 Golden Camp Rd, Augusta, GA 30906 Phone: 706-790-4440 | |
Nadia Reese, AGACNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3604 Wheeler Rd Ste E, Augusta, GA 30909 Phone: 706-432-1111 | |
Britney Wilkinson, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 15th St # Or-6000, Augusta, GA 30912 Phone: 706-726-9257 | |
Kristin Nicole Anderson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Rd, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8735 | |
Shelby Craig, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Greene St Ste 200, Augusta, GA 30901 Phone: 706-722-6900 Fax: 706-722-5118 | |
Magen Brooke Luke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 |