| Esther Jean-gratia, PSYD | |
|
9757 Blue Ridge Dr, Blue Ridge, GA 30513-4167 | |
| (706) 455-2490 | |
| Not Available |
| Full Name | Esther Jean-gratia |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 9757 Blue Ridge Dr, Blue Ridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437612322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY004274 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Esther Jean-gratia, PSYD 324 Cheri Pl, Jonesboro, GA 30238-4580 Ph: (678) 222-6316 | Esther Jean-gratia, PSYD 9757 Blue Ridge Dr, Blue Ridge, GA 30513-4167 Ph: (706) 455-2490 |
Dr. Alvin Ronald Seifert, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 9757 Blue Ridge Dr, Blue Ridge, GA 30513 Phone: 706-455-2490 Fax: 706-946-6574 | |
Willa Boston, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9757 Blue Ridge Dr, Blue Ridge, GA 30513 Phone: 706-455-2490 Fax: 706-946-6574 | |
Dr. Kyle David Raque, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9757 Blue Ridge Dr, Blue Ridge, GA 30513 Phone: 706-455-2490 | |
Dr. Kenneth Bradford Carpenter, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 165 Blue Ridge Overlook, Blue Ridge, GA 30513 Phone: 706-946-4647 Fax: 706-374-5006 |