| Nicholas Q De La Motte Hurst, PA | |
|
1498 Jesse Jewell Pkwy Se Ste A, Gainesville, GA 30501-3874 | |
| (678) 257-2547 | |
| (404) 795-5832 |
| Full Name | Nicholas Q De La Motte Hurst |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1498 Jesse Jewell Pkwy Se Ste A, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831476506 | NPI | - | NPPES |
| Entity Name | The Bortolazzo Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Q De La Motte Hurst, PA 3237 Satellite Blvd Ste 425, Duluth, GA 30096-9009 Ph: (678) 257-2547 | Nicholas Q De La Motte Hurst, PA 1498 Jesse Jewell Pkwy Se Ste A, Gainesville, GA 30501-3874 Ph: (678) 257-2547 |
Kierney Elizabeth Jackson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000 | |
Justina Li Vega, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-533-7288 Fax: 770-534-9800 | |
Mrs. Brandi Nichelle Monroe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435 | |
Robert J Poole, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Rachael Leah Brooks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520 | |
Mrs. Megan Elizabeth Gerrells, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 380, Gainesville, GA 30501 Phone: 770-219-7099 | |
Jordan Pruitt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 302, Gainesville, GA 30501 Phone: 770-219-9200 |