Eastern Wellness Center, Pc | |
2479-b Hwy 17 South Richmond Hill GA 31324 | |
(912) 756-4117 | |
(912) 756-4127 |
Full Name | Eastern Wellness Center, Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 2479-b Hwy 17 South, Richmond Hill, Georgia |
Authorized Official Name and Position | Arklisha Christina Harris (OFFICE MANAGER) |
Authorized Official Contact | 9127564117 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eastern Wellness Center, Pc Po Box 1308 Richmond Hill GA 31324-1308 Ph: (912) 756-4117 | Eastern Wellness Center, Pc 2479-b Hwy 17 South Richmond Hill GA 31324 Ph: (912) 756-4117 |
NPI Number | 1417083387 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8123035201 |
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Medicare Enrollment ID | O20100421000573 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417083387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 50768 (Georgia) | Primary |
Provider Name | Adam W Harris |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295785103 PECOS PAC ID: 8426087180 Enrollment ID: I20050812000050 |
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