| Mrs Autumn Danielle Rafford, FNP-C | |
|
123 Bear Branch Rd, Kathleen, GA 31047-2404 | |
| (678) 371-2798 | |
| Not Available |
| Full Name | Mrs Autumn Danielle Rafford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 123 Bear Branch Rd, Kathleen, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366925893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN211585 (Georgia) | Primary |
| Entity Name | Tlc Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Autumn Danielle Rafford, FNP-C 123 Bear Branch Rd, Kathleen, GA 31047-2404 Ph: (678) 371-2798 | Mrs Autumn Danielle Rafford, FNP-C 123 Bear Branch Rd, Kathleen, GA 31047-2404 Ph: (678) 371-2798 |
Jamie Barr, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047 Phone: 478-910-1090 Fax: 478-910-1091 | |
Melanie Ramsey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Hathersage Dr, Kathleen, GA 31047 Phone: 478-954-2701 | |
Ashley Chineque Jackson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Pearl Moss Ln, Kathleen, GA 31047 Phone: 478-696-2297 | |
Brittany Sanders Dickerson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047 Phone: 478-910-1090 Fax: 478-910-1091 | |
Mrs. Ashley Golden Brooks, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 216 Hathersage Dr, Kathleen, GA 31047 Phone: 478-972-9338 | |
Julia Burch, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Royal Crest Cir, Kathleen, GA 31047 Phone: 478-231-3090 |