Leo Enrique Larios, DO | |
1 Magnolia Ct, Moultrie, GA 31768-6764 | |
(229) 502-9769 | |
Not Available |
Full Name | Leo Enrique Larios |
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Gender | Male |
Speciality | Family Medicine |
Location | 1 Magnolia Ct, 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 |
---|---|---|---|
1154907517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 99713 (Georgia) | Primary |
Entity Name | Dmc Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124430020 PECOS PAC ID: 8628296845 Enrollment ID: O20140902000773 |
Entity Name | Tift Regional Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
Mailing Address | Practice Location Address |
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Leo Enrique Larios, DO 1 Magnolia Ct, Moultrie, GA 31768-6764 Ph: (229) 502-9753 | Leo Enrique Larios, DO 1 Magnolia Ct, Moultrie, GA 31768-6764 Ph: (229) 502-9769 |
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: 3131 S Main St, Moultrie, GA 31768 Phone: 229-985-3420 | |
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 | |
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 |