| Mysonya Earlisa Martin, NP | |
|
206 E Church St, Bowman, GA 30624-2109 | |
| (706) 245-7361 | |
| Not Available |
| Full Name | Mysonya Earlisa Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 206 E Church St, Bowman, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891474300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN160091 (Georgia) | Primary |
| Entity Name | Medlink Georgia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794541 PECOS PAC ID: 3274442850 Enrollment ID: O20040303000376 |
| Mailing Address | Practice Location Address |
|---|---|
| Mysonya Earlisa Martin, NP 206 E Church St, Bowman, GA 30624-2109 Ph: (706) 245-7361 | Mysonya Earlisa Martin, NP 206 E Church St, Bowman, GA 30624-2109 Ph: (706) 245-7361 |
Heather Hill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 E Church St, Bowman, GA 30624 Phone: 706-245-7361 | |
Jason B Hurt, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 E Church St, Bowman, GA 30624 Phone: 706-245-7361 | |
Josie Eavenson Freeman, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 E Church St, Bowman, GA 30624 Phone: 706-245-7361 Fax: 706-245-4054 | |
Sonya Lynn Dicara, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 E Church St, Bowman, GA 30624 Phone: 706-245-7361 |