Ms Virginia Ann Dupraw, FNP | |
817 Griffin Ave, Eastman, GA 31023-6718 | |
(478) 374-1801 | |
(478) 448-4586 |
Full Name | Ms Virginia Ann Dupraw |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 817 Griffin Ave, Eastman, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245534544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN153403 (Georgia) | Primary |
Entity Name | Southeast Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
Mailing Address | Practice Location Address |
---|---|
Ms Virginia Ann Dupraw, FNP 817 Griffin Ave, Eastman, GA 31023-6718 Ph: (478) 374-1801 | Ms Virginia Ann Dupraw, FNP 817 Griffin Ave, Eastman, GA 31023-6718 Ph: (478) 374-1801 |
Abby Lane Clements, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 817 Griffin Ave, Eastman, GA 31023 Phone: 478-374-1801 Fax: 478-448-4586 | |
Britney Ward Smith, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Indian Dr, Eastman, GA 31023 Phone: 478-374-1778 | |
Dr. Amy Harrell Banks, DNP, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 911 Plaza Ave Ste C, Eastman, GA 31023 Phone: 478-374-5774 Fax: 478-374-9112 | |
Vickie Locke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1061 Woodvalley Dr, Eastman, GA 31023 Phone: 478-374-2286 | |
Brianna Jessup Crummey, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 911 Plaza Ave Ste C, Eastman, GA 31023 Phone: 478-374-5774 | |
Shannon Reid, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 911 Plaza Ave Ste C, Eastman, GA 31023 Phone: 478-374-5774 |