Mitspa Thomas, | |
60 Harrow Ct, Covington, GA 30014-8580 | |
(754) 368-0280 | |
Not Available |
Full Name | Mitspa Thomas |
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Gender | Female |
Speciality | Registered Nurse |
Location | 60 Harrow Ct, Covington, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477225340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9463552 (Florida) | Primary |
Entity Name | University Cancer & Blood Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346343761 PECOS PAC ID: 0345293866 Enrollment ID: O20050224000694 |
Entity Name | Innovative Infusions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811299944 PECOS PAC ID: 6608054044 Enrollment ID: O20190607000973 |
Mailing Address | Practice Location Address |
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Mitspa Thomas, 60 Harrow Ct, Covington, GA 30014-8580 Ph: () - | Mitspa Thomas, 60 Harrow Ct, Covington, GA 30014-8580 Ph: (754) 368-0280 |
Ms. Margaret Ann O'malley, RN,CACII Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 215 Kirkland Rd, Covington, GA 30016 Phone: 678-729-9900 Fax: 678-729-9904 | |
Yentl Butler, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 170 Colser Dr, Covington, GA 30016 Phone: 404-452-7669 | |
Mr. Leon Bohanan Jr., RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2316 Butler Bridge Rd, Covington, GA 30016 Phone: 770-383-5889 | |
Gyneth Springs Givens, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 30 Glen Ridge Ct, Covington, GA 30014 Phone: 470-955-3467 | |
Kodjo Vivien Aziamadji, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 6238 Turner Lake Rd Sw, Covington, GA 30014 Phone: 470-971-2118 | |
Kethy M Michel, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 145 River Watch Dr, Covington, GA 30014 Phone: 404-587-0945 Fax: 770-788-8629 | |
Gail George, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 290 Spring Lake Terrace, Covington, GA 30016 Phone: 470-444-1211 |