Dr Jason Boyd Hollis, DO | |
1140 Brampton Ave, Statesboro, GA 30458-0847 | |
(912) 871-2273 | |
(912) 871-2274 |
Full Name | Dr Jason Boyd Hollis |
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Gender | Male |
Speciality | Family Medicine |
Location | 1140 Brampton Ave, Statesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942697495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-17756 (Arkansas) | Secondary |
207Q00000X | Family Medicine | 80316 (Georgia) | Primary |
Entity Name | Curtis V. Cooper Primary Health Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750314183 PECOS PAC ID: 4789667015 Enrollment ID: O20040609000352 |
Entity Name | Southern Family Medicine Of Georgia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528299393 PECOS PAC ID: 6608914056 Enrollment ID: O20091105000378 |
Mailing Address | Practice Location Address |
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Dr Jason Boyd Hollis, DO 516 Old Groveland Rd, Pembroke, GA 31321-3177 Ph: (276) 591-8383 | Dr Jason Boyd Hollis, DO 1140 Brampton Ave, Statesboro, GA 30458-0847 Ph: (912) 871-2273 |
Leslie A Pittman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16741 Hwy 67, Suite A, Statesboro, GA 30458 Phone: 912-623-2391 Fax: 912-623-2396 | |
Zachary Mcgalliard, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23702 Us Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090 | |
Robert Moore Benson Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30458 Phone: 912-764-2273 Fax: 912-489-4762 | |
Sreevalli Dega, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1570 Brampton Ave, Statesboro, GA 30458 Phone: 912-764-9196 | |
Thaddeus H Riley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23702 Hwy 80 E, Statesboro, GA 30458 Phone: 912-489-4090 Fax: 912-765-5028 | |
Dr. Aaron Taylor Clark, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-623-2155 Fax: 912-623-2156 | |
Iris Kalin Clark, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Brampton Ave, Ste B, Statesboro, GA 30458 Phone: 912-623-2155 Fax: 912-623-5156 |