Teawka Fullmore (NPI# 1861884215, PAC ID# 8921310525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861884215 |
| PAC ID by PECOS | 8921310525 |
| Professional Enrollment ID | I20150710001310 |
| Full Name | Teawka Fullmore |
| Organization Legal Name | INTERNAL MEDICINE ASSOC OF WAYCROSS |
| Address |
711 Knight Ave Waycross GA 31501-1943 |
| Phone Number | 91228394231423 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749276004 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110003 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS |
| Address | Phone | Organization |
|---|---|---|
| 711 Knight Ave, Waycross, GA 31501-1943 | 91228394231423 | INTERNAL MEDICINE ASSOC OF WAYCROSS |
| Organization Legal Name | INTERNAL MEDICINE ASSOC OF WAYCROSS |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill G Bryant | Internal Medicine | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Rhonda O Williams | Internal Medicine | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Andrea M Deloach | Nurse Practitioner | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Bradley D Page | Physician Assistant | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Roxy J Sheffield | Physician Assistant | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Randall W Mccarthy | Physician Assistant | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Street Address |
711 KNIGHT AVE |
| City | WAYCROSS |
| State | GA |
| Zip | 31501-1943 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill G Bryant | Internal Medicine | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Rhonda O Williams | Internal Medicine | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Andrea M Deloach | Nurse Practitioner | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Bradley D Page | Physician Assistant | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Roxy J Sheffield | Physician Assistant | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Randall W Mccarthy | Physician Assistant | Internal Medicine Assoc of Waycross | 711 Knight Ave, Waycross, GA 31501-1943 |
| Ronald E Jones | Physician Assistant | Satilla Rheumatology and Internal Medicine, PC | 711 Knight Ave, Waycross, GA 31501-4524 |
| Ronald T Macy Ii | Nurse Practitioner | Satilla Rheumatology and Internal Medicine, PC | 711 Knight Ave, Waycross, GA 31501-4524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Gilbert | Chiropractic | 1705 Blvd Sq, Suite C, Waycross, GA 31501 | |
| Zachary Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| William Perry Giles | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| Scott H Petermann | Ophthalmology | South Georgia Eye Partners PC | 1730 Brunswick Hwy, Waycross, GA 31501-0908 |
| Rodney Brown | Optometry | 1730 Brunswick Hwy, Waycross, GA 31501-0908 | |
| Jarrod Griffis | Optometry | American Eyecare Center Waycross PC | 1730 Brunswick Hwy, Waycross, GA 31501-0908 |
| Peggy S Achenbach | Optometry | Myeyedr Optometry of Georgia, LLC | 2215 Memorial Dr, Suite 25, Waycross, GA 31501-0987 |
| Brandon Hall | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Amber C Pittman | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Carmen Jackson | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Find all physicians in zip 31501 | |||
| City | WAYCROSS |
| Zip Code | 31501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WAYCROSS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Teawka Fullmore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.