| Sihwa Lee, | |
|
1460 Resurgence Dr, Watkinsville, GA 30677-7320 | |
| (762) 356-4785 | |
| (762) 728-6190 |
| Full Name | Sihwa Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1460 Resurgence Dr, Watkinsville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750090569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP265302 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | F08220260 (Georgia) | Primary |
| Entity Name | Gwinnett Clinic, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629117650 PECOS PAC ID: 9436061801 Enrollment ID: O20031104000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Sihwa Lee, 1283 Harvest Park Ln, Suwanee, GA 30024-5616 Ph: (770) 815-6900 | Sihwa Lee, 1460 Resurgence Dr, Watkinsville, GA 30677-7320 Ph: (762) 356-4785 |
Christina Nicole Morgan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1361 Jennings Mill Rd Ste 201, Watkinsville, GA 30677 Phone: 706-316-1908 | |
Britanny Dawn Castro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Oak Hill Ct, Watkinsville, GA 30677 Phone: 706-296-0469 | |
Sheryl A Newberry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 Phone: 706-389-2273 Fax: 706-389-2298 | |
Barbara L Pruitt, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 Phone: 706-389-2273 Fax: 706-389-2298 | |
Ms. Ivey Broxton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420 | |
Alexis Brooke Musser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 250, Watkinsville, GA 30677 Phone: 706-475-1700 | |
Mary H Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way Bldg 400-104, Watkinsville, GA 30677 Phone: 706-850-8135 |