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37 341 Byp Hawkinsville GA 31036-0000 | |
(478) 845-4842 | |
(833) 606-0577 |
Full Name | |
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Speciality | Clinic/Center |
Location | 37 341 Byp, Hawkinsville, Georgia |
Authorized Official Name and Position | Monya York (CONTROLLER) |
Authorized Official Contact | 8708561202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: () - | 37 341 Byp Hawkinsville GA 31036-0000 Ph: (478) 845-4842 |
NPI Number | 1174104657 |
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Provider Enumeration Date | 04/16/2021 |
Last Update Date | 09/13/2022 |
Medicare PECOS PAC ID | 2961814694 |
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Medicare Enrollment ID | O20211123003251 |
Identifier | Type | State | Issuer |
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1174104657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
M. Keith Lewis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Industrial Blvd, Ste. 102, Hawkinsville, GA 31036 Phone: 478-783-2297 Fax: 478-783-2296 | |
Heart Of Georgia Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Industrial Blvd, Suite 102, Hawkinsville, GA 31036 Phone: 478-272-4544 Fax: 478-275-1306 |