| Mrs Suann Daphna Runshe, NP | |
|
119 Camerons Way, Byron, GA 31008-7308 | |
| (478) 390-0397 | |
| Not Available |
| Full Name | Mrs Suann Daphna Runshe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 119 Camerons Way, Byron, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871040394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9396881 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 170589 (Georgia) | Primary |
| Entity Name | Pruitthealth Physicians Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Suann Daphna Runshe, NP 119 Camerons Way, Byron, GA 31008-7308 Ph: (478) 390-0397 | Mrs Suann Daphna Runshe, NP 119 Camerons Way, Byron, GA 31008-7308 Ph: (478) 390-0397 |
Mrs. Tara Leeann Hamilton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Highway 247 Conn, Byron, GA 31008 Phone: 478-654-2400 | |
Chelsea Hayman, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-956-5002 Fax: 478-956-5003 | |
Jennifer Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Moseley Rd, Byron, GA 31008 Phone: 478-654-5327 Fax: 478-654-5218 | |
Holly Rebecca Norris, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6021 Watson Blvd, Byron, GA 31008 Phone: 478-956-5002 Fax: 478-956-5003 | |
Mrs. Tyechia Lewis Hall, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-699-1028 Fax: 478-699-1029 | |
Mrs. Daniela Torres, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-956-5002 | |
Casey Cochran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-699-1028 Fax: 478-699-1029 |