Dr Henry R Richbourg, MD | |
416a E Mcpherson Ave, Nashville, GA 31639-2275 | |
(229) 686-2093 | |
(229) 686-7150 |
Full Name | Dr Henry R Richbourg |
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Gender | Male |
Speciality | Family Medicine |
Location | 416a E Mcpherson Ave, Nashville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467439968 | NPI | - | NPPES |
0001387A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11782 (Georgia) | Primary |
Entity Name | Tift Regional Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
Mailing Address | Practice Location Address |
---|---|
Dr Henry R Richbourg, MD 907 18th St E, Suite 150, Tifton, GA 31794-3643 Ph: (229) 353-3422 | Dr Henry R Richbourg, MD 416a E Mcpherson Ave, Nashville, GA 31639-2275 Ph: (229) 686-2093 |
Sarah Harrell Kester, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 201 W Mcpherson Ave, Nashville, GA 31639 Phone: 229-638-6726 Fax: 229-518-4425 | |
Mandy Katrice Lucas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 E. Mcpherson Avenue, Suite A, Nashville, GA 31939 Phone: 229-433-8741 Fax: 229-433-8742 | |
Dr. Celestine Stiles, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 418 E. Mcpherson Ave, Nashville, GA 31639 Phone: 229-686-9715 Fax: 229-543-1282 | |
Jonathan David Wade, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 S Jefferson St, Nashville, GA 31639 Phone: 229-638-6726 Fax: 229-518-4425 | |
Richard E Wheeler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 E Mcpherson Ave Ste A, Nashville, GA 31639 Phone: 229-686-2093 | |
Dr. Clifton Blayne Thomas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 W Mcpherson Ave, Nashville, GA 31639 Phone: 229-638-6726 |