| Mrs Bethany Woodruff Gruber, RN, BSN, NP-C | |
|
73 Sw Park Ave, Baxley, GA 31513-0703 | |
| (912) 705-8050 | |
| (912) 705-8051 |
| Full Name | Mrs Bethany Woodruff Gruber |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 73 Sw Park Ave, Baxley, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861828923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN204317 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN204317 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Appling Hospital | Baxley, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Family Walk-in | 8224442231 | 2 |
| Entity Name | Appling Family Total Healthcare Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922378702 PECOS PAC ID: 6406014885 Enrollment ID: O20120215000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Bethany Woodruff Gruber, RN, BSN, NP-C 73 Sw Park Ave Ste B, Baxley, GA 31513-2008 Ph: (912) 705-8051 | Mrs Bethany Woodruff Gruber, RN, BSN, NP-C 73 Sw Park Ave, Baxley, GA 31513-0703 Ph: (912) 705-8050 |
Chandra Wynn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 216 2nd St, Baxley, GA 31513 Phone: 912-551-3407 | |
Mrs. Patricia Dale Mctier, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1781 Doc Mctier Rd, Baxley, GA 31513 Phone: 912-366-8644 Fax: 912-366-8645 | |
Martha D Beecher, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 195 E Tollison St, Baxley, GA 31513 Phone: 912-367-0434 Fax: 912-367-0436 | |
Crystal L Wood, BSN, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 163 E Tollison St, Baxley, GA 31513 Phone: 912-367-9841 |