| Mr Terry Joe Davis, FNP | |
|
2300 Dawson Rd Ste 101, Albany, GA 31707-2804 | |
| (229) 436-8535 | |
| (229) 436-0363 |
| Full Name | Mr Terry Joe Davis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2300 Dawson Rd Ste 101, Albany, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497306781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN162541 (Georgia) | Primary |
| Entity Name | Lifeline Vascular Center - Albany, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861730855 PECOS PAC ID: 2567607690 Enrollment ID: O20130320000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Terry Joe Davis, FNP 146 Crotwell Rd, Leesburg, GA 31763-4192 Ph: (229) 886-8340 | Mr Terry Joe Davis, FNP 2300 Dawson Rd Ste 101, Albany, GA 31707-2804 Ph: (229) 436-8535 |
Brittany Pines, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 W 3rd Ave, Suite 105, Albany, GA 31701 Phone: 229-312-2380 | |
Rhonda Jeannean Haynes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Scarlett Ann Wade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 5th Ave, Albany, GA 31701 Phone: 229-883-4555 Fax: 229-888-0063 | |
Josiane K Ewiah, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 W 4th Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Susan Darlene Boyett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2402 Osler Ct, Albany, GA 31707 Phone: 229-438-3300 Fax: 229-438-4651 | |
Ms. Beverly Ann Willis, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2173 Fax: 229-434-2548 | |
Stephanie Warfel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 |