| Mr Robert Dean Devlin Ii, | |
|
302 Paulding Blvd, Dallas, GA 30157-0635 | |
| (229) 269-7889 | |
| Not Available |
| Full Name | Mr Robert Dean Devlin Ii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 302 Paulding Blvd, Dallas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093471153 | NPI | - | NPPES |
| RN248400 | Other | GA | GEORGIA BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN248400 (Georgia) | Primary |
| Entity Name | The Bortolazzo Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Dean Devlin Ii, 302 Paulding Blvd, Dallas, GA 30157-0635 Ph: (229) 269-7889 | Mr Robert Dean Devlin Ii, 302 Paulding Blvd, Dallas, GA 30157-0635 Ph: (229) 269-7889 |
Kimberly Williams Naab, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Nathan Dean Blvd, Dallas, GA 30132 Phone: 770-505-3837 | |
Karen F Frazier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 495 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-231-4783 | |
Yolonda Michelle Rawls, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 149 Parkmont Court, Dallas, GA 30132 Phone: 770-866-1777 | |
Amy Evans, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 273 Macland Rd, Dallas, GA 30132 Phone: 770-441-4001 | |
Aline Ange Well- Okojie, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Nathan Dean Blvd, Dallas, GA 30132 Phone: 770-505-3837 | |
Mrs. Amanda Elizabeth Shaw, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-445-2128 |