| Victoria Broadhurst, | |
|
3465 Macon Rd Ste D, Columbus, GA 31907-2582 | |
| (706) 541-8847 | |
| Not Available |
| Full Name | Victoria Broadhurst |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3465 Macon Rd Ste D, Columbus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942973144 | NPI | - | NPPES |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Broadhurst, 5295 Riverchase Dr Apt 307, Phenix City, AL 36867-7507 Ph: (706) 570-5130 | Victoria Broadhurst, 3465 Macon Rd Ste D, Columbus, GA 31907-2582 Ph: (706) 541-8847 |
Resa A Lord, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 107, Columbus, GA 31901 Phone: 706-571-1665 Fax: 706-660-2699 | |
Courtni Schaaf, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 10th Ave Ste 370, Columbus, GA 31901 Phone: 706-660-2562 Fax: 706-660-2580 | |
Ms. April Allen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4343 Warm Springs Rd Apt 2104, Columbus, GA 31909 Phone: 706-536-4775 | |
Brandi Michelle Richards, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Whittlesey Blvd Ste A, Columbus, GA 31909 Phone: 706-321-0476 | |
Susan Carol Wieczorek, NP-C, CWOCN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 21st St, Columbus, GA 31904 Phone: 706-321-3901 Fax: 706-321-3904 | |
Mrs. Ann Marie Blair, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884 | |
Mrs. Crystal Berry, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Brown Ave, Columbus, GA 31906 Phone: 678-729-7973 |