Michelle Davignon, PNP | |
4645 Augusta Rd, Beech Island, SC 29842-7265 | |
(803) 593-9283 | |
Not Available |
Full Name | Michelle Davignon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 4645 Augusta Rd, Beech Island, 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 |
---|---|---|---|
1275091712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | RN236485 (Georgia) | Primary |
Entity Name | Rural Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053362111 PECOS PAC ID: 8527046010 Enrollment ID: O20040712000202 |
Entity Name | Rural Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790846608 PECOS PAC ID: 8527046010 Enrollment ID: O20150430001240 |
Entity Name | Rural Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447530431 PECOS PAC ID: 8527046010 Enrollment ID: O20150430001494 |
Entity Name | Rural Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609646611 PECOS PAC ID: 8527046010 Enrollment ID: O20240725001676 |
Mailing Address | Practice Location Address |
---|---|
Michelle Davignon, PNP 215 Claudia Dr, Grovetown, GA 30813-8318 Ph: () - | Michelle Davignon, PNP 4645 Augusta Rd, Beech Island, SC 29842-7265 Ph: (803) 593-9283 |
Jemetta S Harvey, RN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4645 Augusta Rd, Beech Island, SC 29842 Phone: 803-593-9283 Fax: 803-593-0607 |