| Airport Clinic Inc | |
|
704 Gil Harbin Industrial Blvd Valdosta GA 31601-6513 | |
| (229) 242-9003 | |
| Not Available |
| Full Name | Airport Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 704 Gil Harbin Industrial Blvd, Valdosta, Georgia |
| Authorized Official Name and Position | Steve Graham (PRESIDENT) |
| Authorized Official Contact | 2292429003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Airport Clinic Inc 704 Gil Harbin Industrial Blvd Valdosta GA 31601-6513 Ph: (229) 242-9003 | Airport Clinic Inc 704 Gil Harbin Industrial Blvd Valdosta GA 31601-6513 Ph: (229) 242-9003 |
| NPI Number | 1730354739 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 11/21/2013 |
| Medicare PECOS PAC ID | 0244394161 |
|---|---|
| Medicare Enrollment ID | O20090121000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730354739 | NPI | - | NPPES |
| 227527287B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Thomas A Mackean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356318265 PECOS PAC ID: 5597788331 Enrollment ID: I20060109000118 |
| Provider Name | Samuel Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164436788 PECOS PAC ID: 1951303262 Enrollment ID: I20070215000050 |
| Provider Name | Richard A Lutes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700992278 PECOS PAC ID: 3375436504 Enrollment ID: I20140626001121 |
Joseph S Thomas M D Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602 Phone: 229-242-9565 Fax: 229-242-1725 | |
Care Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2804 N Oak St, Suite C, Valdosta, GA 31602 Phone: 229-241-8925 Fax: 229-241-7672 | |
Griner Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 N Oak Street Ext, Valdosta, GA 31605 Phone: 229-242-6061 Fax: 229-242-6151 | |
Valdosta Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 | |
Valdosta Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Connell Rd, Valdosta, GA 31602 Phone: 229-244-1570 Fax: 229-247-1084 | |
Partnership Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Griffin Ave, Valdosta, GA 31601 Phone: 229-245-0020 Fax: 229-245-9855 | |
Bennett P Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 |