| 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 |
| Experience | 2 Years |
| Location | 1030 Main St S Ste A, Wedowee, Alabama |
| 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 |
|---|---|---|---|
| 1841971421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-102065 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center-east Alabama | Wedowee, AL | Hospital |
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanner Medical Center Alabama Inc | 6507123726 | 4 |
| Tanner Primary Care Of Wedowee Inc | 8426211905 | 3 |
| 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: Medicare Enrolled 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: Accepting Medicare Assignments Practice Location: 209 Main Street, Wedowee, AL 36278 Phone: 256-357-2111 |