Concordio F Ursal, MD | |
2106 Ocilla Rd, Douglas, GA 31533 | |
(912) 384-4010 | |
(912) 383-6365 |
Full Name | Concordio F Ursal |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 2106 Ocilla Rd, Douglas, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730126194 | NPI | - | NPPES |
000474977L | Medicaid | GA | |
000474977Q | Medicaid | GA | |
000474977M | Medicaid | GA | |
000474977T | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 019352 (Georgia) | Primary |
Entity Name | Irwin County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720098791 PECOS PAC ID: 7618950643 Enrollment ID: O20040610001257 |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Mailing Address | Practice Location Address |
---|---|
Concordio F Ursal, MD 202 South Cherry Street, Ocilla, GA 31774 Ph: (229) 468-5015 | Concordio F Ursal, MD 2106 Ocilla Rd, Douglas, GA 31533 Ph: (912) 384-4010 |
Dr. Chester Theo Royals Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533 Phone: 912-384-5832 Fax: 912-383-8279 | |
Dr. Romulo P Navarro, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533 Phone: 912-384-5832 Fax: 912-383-8279 | |
Dr. Charles A Bagwell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533 Phone: 912-384-5832 Fax: 912-383-8279 | |
Timothy A Humphries, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533 Phone: 912-384-5832 Fax: 912-383-8279 |