| Teresa Buckles, | |
|
3404 Kent Farm Rd, Millen, GA 30442-3442 | |
| (478) 982-6300 | |
| Not Available |
| Full Name | Teresa Buckles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3404 Kent Farm Rd, Millen, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588104715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN168266 (Georgia) | Primary |
| Entity Name | East Georgia Healthcare Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831144971 PECOS PAC ID: 0547228686 Enrollment ID: O20050722000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Buckles, 5135 E Old Savannah Rd, Millen, GA 30442-5125 Ph: (912) 531-0459 | Teresa Buckles, 3404 Kent Farm Rd, Millen, GA 30442-3442 Ph: (478) 982-6300 |
Joyce Ross-moore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 961 E Winthrope Ave, Millen, GA 30442 Phone: 478-982-0120 Fax: 478-982-0150 | |
Mrs. Julie G. Bird, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1121 Highway 25 N, Millen, GA 30442 Phone: 478-401-0477 Fax: 888-375-0624 | |
June R Anderson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 466 S Gray St, Millen, GA 30442 Phone: 478-982-2531 | |
Kylie Floyd, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 931 E Winthrope Ave, Millen, GA 30442 Phone: 478-982-4221 | |
Ronald Sean Demeyer, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 931 E Winthrope Ave, Millen, GA 30442 Phone: 478-982-4221 | |
Alexandra Byers Weathersby, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1075 E Winthrope Ave, Millen, GA 30442 Phone: 478-249-1200 Fax: 478-249-1203 |