| Advanced Medical Resources Of Wayne County, Llc | |
|
865 S 1st St Jesup GA 31545-0210 | |
| (912) 657-0500 | |
| Not Available |
| Full Name | Advanced Medical Resources Of Wayne County, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 865 S 1st St, Jesup, Georgia |
| Authorized Official Name and Position | Lake Daly (ADMINISTRATOR) |
| Authorized Official Contact | 9126570500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Resources Of Wayne County, Llc 340 Hodgson Ct Ste 4 Savannah GA 31406-1523 Ph: () - | Advanced Medical Resources Of Wayne County, Llc 865 S 1st St Jesup GA 31545-0210 Ph: (912) 657-0500 |
| NPI Number | 1396140497 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 02/19/2020 |
| Medicare PECOS PAC ID | 9638498140 |
|---|---|
| Medicare Enrollment ID | O20150505002320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396140497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Akinwole A Awujo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780629519 PECOS PAC ID: 6002702834 Enrollment ID: I20040401000482 |
| Provider Name | Bruce M Gioia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427095827 PECOS PAC ID: 1658368436 Enrollment ID: I20040426001492 |
| Provider Name | Thomas Campen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497729834 PECOS PAC ID: 0547251944 Enrollment ID: I20040524000764 |
| Provider Name | James A Sexson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366502155 PECOS PAC ID: 7618071432 Enrollment ID: I20070403000394 |
| Provider Name | Robert W Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659462919 PECOS PAC ID: 5698841609 Enrollment ID: I20080827000343 |
| Provider Name | Robert Sakulanda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558526566 PECOS PAC ID: 1557421872 Enrollment ID: I20090306000394 |
| Provider Name | Jeremiah R Mcclure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700049772 PECOS PAC ID: 2466623210 Enrollment ID: I20110927000650 |
| Provider Name | William J Von Taaffe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508870817 PECOS PAC ID: 0143224337 Enrollment ID: I20120120000336 |
| Provider Name | Nadine Nicole Von Taaffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346354578 PECOS PAC ID: 8224039326 Enrollment ID: I20120223000932 |
| Provider Name | Ronnie Tom Oommen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548581887 PECOS PAC ID: 8325289077 Enrollment ID: I20130723000902 |
| Provider Name | Erin R Slaughter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255594065 PECOS PAC ID: 8921228446 Enrollment ID: I20141006001289 |
| Provider Name | Christian J Bolea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982990123 PECOS PAC ID: 5597911420 Enrollment ID: I20160311002026 |
| Provider Name | Shenique Anderson Wesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912256892 PECOS PAC ID: 2062715543 Enrollment ID: I20181119002508 |
| Provider Name | Vikas Maan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871521070 PECOS PAC ID: 7113823642 Enrollment ID: I20201019000882 |
Lentz Urgent Care & Family Med, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 182 Sunset Blvd, Jesup, GA 31545 Phone: 912-385-2102 Fax: 912-385-2180 | |
Headley Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S 1st St, Jesup, GA 31545 Phone: 912-427-7400 Fax: 912-385-2953 | |
Wayne Family Practice Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Peachtree St, Jesup, GA 31545 Phone: 912-427-6964 Fax: 912-427-0591 | |
Golden Isles Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 S 1st St, Jesup, GA 31545 Phone: 912-427-8031 Fax: 912-427-8032 | |
Internal Medicine Of Southeast Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 351 Peachtree St, Jesup, GA 31545 Phone: 912-530-6582 Fax: 912-530-6584 | |
Peach Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 S Brunswick St, Jesup, GA 31546 Phone: 912-385-2755 Fax: 912-385-2785 | |
Winnie Claire Hicks Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Memorial Dr, Jesup, GA 31545 Phone: 912-588-2511 Fax: 912-588-2518 |