Shelby Giles, | |
127 Old Highway 96 Ste B, Bonaire, GA 31005-3461 | |
(478) 352-7143 | |
Not Available |
Full Name | Shelby Giles |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 127 Old Highway 96 Ste B, Bonaire, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194491506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LG0600X | Nurse Practitioner - Gerontology | RN258729 (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 |
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Shelby Giles, 4300 N Point Pkwy Ste 300, Alpharetta, GA 30022-4102 Ph: () - | Shelby Giles, 127 Old Highway 96 Ste B, Bonaire, GA 31005-3461 Ph: (478) 352-7143 |
Louwana L. Hollar, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96, Suite A, Bonaire, GA 31005 Phone: 478-922-9944 | |
Patience Chinenye Okolo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 774 Ga Hwy 96, Bonaire, GA 31005 Phone: 478-988-5711 | |
Mrs. Laquita Charle Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Southshore Ct, Bonaire, GA 31005 Phone: 229-712-8884 | |
Ms. Roneseya Bentley Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Moran Dr, Bonaire, GA 31005 Phone: 478-988-1282 Fax: 478-988-3120 | |
Karena Collins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Wildwood Trl, Bonaire, GA 31005 Phone: 479-957-8013 | |
Jessica Ann Smith, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Donna Kay Ct, Bonaire, GA 31005 Phone: 478-220-1707 |