| Sandra G Williams, | |
|
95 Medical Park Blvd, Petersburg, VA 23805-9280 | |
| (804) 220-5770 | |
| Not Available |
| Full Name | Sandra G Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 95 Medical Park Blvd, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336876267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024183392 (Virginia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 0024183362 (Virginia) | Primary |
| Entity Name | Gmgp Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144838608 PECOS PAC ID: 9436561800 Enrollment ID: O20201209002470 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra G Williams, Po Box 780125, Philadelphia, PA 19178-0125 Ph: (804) 922-4844 | Sandra G Williams, 95 Medical Park Blvd, Petersburg, VA 23805-9280 Ph: (804) 220-5770 |
Olivia Houchins, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-861-0700 | |
Rasha Kafi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 263 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-431-1100 Fax: 804-862-1094 | |
Linda P. Whiteley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-862-1652 | |
Jocelyn L Burls, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Chiquita Michone Thomas-jackson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3916 S Crater Rd, Petersburg, VA 23805 Phone: 804-526-4300 | |
Ms. Erica Lynn Bagby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 Fax: 804-733-3506 | |
Ms. Evelyn Maria Cason, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 849 S Sycamore St Ste A, Petersburg, VA 23803 Phone: 804-715-1031 Fax: 804-203-4722 |