Dr Richard C Smith, MD | |
611 E Villanow St, La Fayette, GA 30728-2618 | |
(706) 638-1606 | |
(706) 861-9405 |
Full Name | Dr Richard C Smith |
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Gender | Male |
Speciality | Family Medicine |
Location | 611 E Villanow St, La Fayette, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376520874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19603 (Georgia) | Primary |
Entity Name | Memorial Health Partners Foundation, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040423000212 |
Mailing Address | Practice Location Address |
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Dr Richard C Smith, MD 611 E Villanow St, La Fayette, GA 30728-2618 Ph: (706) 638-1606 | Dr Richard C Smith, MD 611 E Villanow St, La Fayette, GA 30728-2618 Ph: (706) 638-1606 |
Dr. Teddy A Scoggins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Villanow St, La Fayette, GA 30728 Phone: 706-638-1606 Fax: 706-638-9987 | |
Eric J Betts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Villanow St, La Fayette, GA 30728 Phone: 706-638-1606 Fax: 706-638-9987 | |
Dr. Suzanne Storey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Villanow St, La Fayette, GA 30728 Phone: 706-638-1606 Fax: 706-638-9987 | |
Dr. George Paul Shaw Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 N Main St, La Fayette, GA 30728 Phone: 706-638-5300 Fax: 706-638-5323 | |
Mr. Ralph Edward Bowers Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3824 S Highway 27, La Fayette, GA 30728 Phone: 706-639-9055 Fax: 706-639-9057 | |
Dr. Aloysius T Mangan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 E Villanow St, La Fayette, GA 30728 Phone: 706-638-6018 Fax: 706-638-5990 |