| Ms Brandi Michelle Holloway, | |
| 1030 Main St S Ste A, Wedowee, AL 36278-7440 | |
| (256) 357-2188 | |
| (256) 357-2023 | 
| Full Name | Ms Brandi Michelle Holloway | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1030 Main St S Ste A, Wedowee, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841971421 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F06230472 (Alabama) | Primary | 
| Entity Name | Tanner Primary Care Of Wedowee Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396002515 PECOS PAC ID: 8426211905 Enrollment ID: O20120521000201 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Brandi Michelle Holloway, 1030 Main St S Ste A, Wedowee, AL 36278-7440 Ph: (256) 357-2188 | Ms Brandi Michelle Holloway, 1030 Main St S Ste A, Wedowee, AL 36278-7440 Ph: (256) 357-2188 | 
| Kimberly L Buckalew, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 209 Main St, Wedowee, AL 36278 Phone: 256-357-2111 Fax: 256-357-0175 | |
| Richard Daniel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Main S St, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
| Mrs. Shanda Cotney, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1030 Main St S, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
| Karen Jo Thompson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Main St, Wedowee, AL 36278 Phone: 256-357-2111 Fax: 256-357-0175 | |
| Mrs. Angela Cox Loveless, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Main St S, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
| Sarah Vanecia Davidson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 Main Street, Wedowee, AL 36278 Phone: 256-357-2111 |