Beyond Health Group | |
62 E Main St Statesboro GA 30458-4844 | |
(912) 225-3220 | |
Not Available |
Full Name | Beyond Health Group |
---|---|
Speciality | Clinic/Center |
Location | 62 E Main St, Statesboro, Georgia |
Authorized Official Name and Position | Nancy Hurlock (OWNER) |
Authorized Official Contact | 9122253220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Beyond Health Group 430 Northside Dr E Ste 160 Statesboro GA 30458-4758 Ph: (912) 225-3220 | Beyond Health Group 62 E Main St Statesboro GA 30458-4844 Ph: (912) 225-3220 |
NPI Number | 1679032205 |
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Provider Enumeration Date | 03/13/2019 |
Last Update Date | 09/02/2021 |
Medicare PECOS PAC ID | 5092058453 |
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Medicare Enrollment ID | O20190528002372 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679032205 | NPI | - | NPPES |
1245729300 | Other | GA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Nancy A Hurlock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245729300 PECOS PAC ID: 4880880335 Enrollment ID: I20190612000879 |
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