| Stacey C Reid, CNM | |
|
220 Northside Dr, Valdosta, GA 31602-1858 | |
| (229) 241-2800 | |
| (229) 241-0454 |
| Full Name | Stacey C Reid |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 220 Northside Dr, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679778419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN165481 (Georgia) | Primary |
| Entity Name | Southern Ob Gyn Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801951454 PECOS PAC ID: 8729059043 Enrollment ID: O20040802000950 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey C Reid, CNM 220 Northside Dr, Valdosta, GA 31602-1858 Ph: (229) 241-2800 | Stacey C Reid, CNM 220 Northside Dr, Valdosta, GA 31602-1858 Ph: (229) 241-2800 |
Ashley Barker, CMN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 220 Northside Dr, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-245-0888 | |
Mrs. Michelle Lynn Shifflett, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 814 Northwood Park Dr, Valdosta, GA 31602 Phone: 229-262-6810 | |
Mrs. Victoria Lenore Gordon, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3338 Country Club Rd, Ste L1 Pmb 252, Valdosta, GA 31605 Phone: 229-234-2505 Fax: 229-600-2021 | |
Deborah Crews, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 220 Northside Drive, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454 | |
Vickie D Hankla, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 220 Northside Drive, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454 | |
Teresa W Johnson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 220 Northside Dr, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454 |