Margaret S. Licavoli
Margaret S. Licavoli is a Nurse Practitioner in Blairsville, Georgia. Qualified in 2021, 5 years ago. Practices with Sentinel Plastic Surgery LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 5
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
123 Weaver Rd Ste BBlairsville, GA 30512-3155
Phone: (170) 643-9648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 351 E Highland St, Blue Ridge, GA 30513-4544 — (706) 632-2707
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence RN168368 (GA) |
|---|
Record details
| NPI number | 1487399416 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2022 |
| Last updated in NPPES | August 17, 2022 |
| Certification date | August 17, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Sentinel Plastic Surgery Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |