Landon David Withers Palmer, FNP | |
2460 Washington Rd, Thomson, GA 30824-6600 | |
(706) 595-1411 | |
Not Available |
Full Name | Landon David Withers Palmer |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2460 Washington Rd, Thomson, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285444596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN305476 (Georgia) | Primary |
Entity Name | Peach State Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053170605 PECOS PAC ID: 7719328038 Enrollment ID: O20240516002831 |
Mailing Address | Practice Location Address |
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Landon David Withers Palmer, FNP 215 Caroleton Dr, Grovetown, GA 30813-0317 Ph: (435) 851-5717 | Landon David Withers Palmer, FNP 2460 Washington Rd, Thomson, GA 30824-6600 Ph: (706) 595-1411 |
Savannah Morgan Workman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1043 Washington Rd, Thomson, GA 30824 Phone: 706-595-1461 Fax: 706-597-9824 | |
Megan Stuckey Wiley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 Fluker St, Thomson, GA 30824 Phone: 706-595-1090 Fax: 706-595-6010 | |
Mrs. Lori Roth Tucker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1043 Washington Rd, Thomson, GA 30824 Phone: 706-595-1461 Fax: 706-597-9824 | |
Mallory Mayers Montes, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 Fluker St, Thomson, GA 30824 Phone: 706-595-1090 Fax: 706-595-6010 | |
Emily Neal Talkington, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 University Dr, Thomson, GA 30824 Phone: 706-595-1090 Fax: 706-595-6010 | |
Mrs. Virginia R Bradshaw, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Greenway St, Thomson, GA 30824 Phone: 706-595-1740 Fax: 706-595-8503 |