| Stephanie Thomas, NP | |
|
4000 Shakerag Hl Ste 100, Peachtree City, GA 30269-4047 | |
| (770) 954-5010 | |
| Not Available |
| Full Name | Stephanie Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 4000 Shakerag Hl Ste 100, Peachtree City, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710581673 | NPI | - | NPPES |
| Entity Name | Ennoble Hc Dmv Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104492115 PECOS PAC ID: 9032517925 Enrollment ID: O20211029000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Thomas, NP 120 Farr Lake Dr, Tyrone, GA 30290-2545 Ph: (678) 779-2102 | Stephanie Thomas, NP 4000 Shakerag Hl Ste 100, Peachtree City, GA 30269-4047 Ph: (770) 954-5010 |
Mrs. Lorene Greene, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 W, Suite 150, Peachtree City, GA 30269 Phone: 770-786-5000 Fax: 404-588-2624 | |
Melissa Kristine Petersen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Georgian Park Ste 200, Peachtree City, GA 30269 Phone: 770-632-8909 | |
Pauline Kpannah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 564 Crosstown Dr, Peachtree City, GA 30269 Phone: 770-282-2944 | |
Sini Poulose, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Willow Bend Rd, Peachtree City, GA 30269 Phone: 770-681-0157 | |
Tya Wright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 564 Crosstown Dr, Peachtree City, GA 30269 Phone: 770-282-2944 | |
Sydney Mason Weaver, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Willow Bend Rd, Peachtree City, GA 30269 Phone: 770-681-0157 | |
Erin E Norton- Cook, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Cornflower Ct, Peachtree City, GA 30269 Phone: 770-375-6351 |