Dr Charles Gary Lodge, MD | |
6 Hospital Park, Moultrie, GA 31768-6700 | |
(229) 985-3320 | |
(229) 890-1282 |
Full Name | Dr Charles Gary Lodge |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 6 Hospital Park, Moultrie, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366521205 | NPI | - | NPPES |
00296942B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 024019 (Georgia) | Primary |
Entity Name | Colquitt Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912099094 PECOS PAC ID: 6204821796 Enrollment ID: O20040415000368 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Gary Lodge, MD Po Box 3037, Moultrie, GA 31776-3037 Ph: (229) 985-3320 | Dr Charles Gary Lodge, MD 6 Hospital Park, Moultrie, GA 31768-6700 Ph: (229) 985-3320 |
Lisa Ann Young, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-502-9769 Fax: 928-338-5508 | |
Dr. Woodwin Michael Weeks, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-502-9769 | |
Dr. Arthur Clifford Marsh, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 S Main St, Moultrie, GA 31768 Phone: 229-985-1334 Fax: 229-891-2508 | |
Dr. Gary Wade Swartzentruber, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Laurel Ct, Moultrie, GA 31768 Phone: 229-891-9016 | |
Dr. Michael A Kelley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-502-9782 Fax: 229-891-9567 | |
Leo Enrique Larios, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-502-9769 | |
Michael Magat, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-985-3420 Fax: 229-985-3018 |