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Organization

PROSPERITY HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANIQUE LAKEITA ADAMS FNP-BC (FAMILY NURSE PRACTITIONER)
(706) 951-5860
Entity
Organization

Contact information

Practice address
604 BEAUFORT AVE, AUGUSTA, GA 30901-2012
(706) 951-5860
Mailing address
604 BEAUFORT AVE, AUGUSTA, GA 30901-2012
(706) 951-5860

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588091995
GA
Enumeration date
07/12/2019
Last updated
07/12/2019
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform