| |
1323 E Shotwell St Bainbridge GA 39819-4252 | |
(229) 243-0283 | |
(229) 243-0275 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1323 E Shotwell St, Bainbridge, Georgia |
Authorized Official Name and Position | Gregory S. Hembree (CFO) |
Authorized Official Contact | 2292282880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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920 Cairo Rd Thomasville GA 31792-4255 Ph: (229) 228-8800 | 1323 E Shotwell St Bainbridge GA 39819-4252 Ph: (229) 243-0283 |
NPI Number | 1972635233 |
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Provider Enumeration Date | 03/12/2007 |
Last Update Date | 03/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972635233 | NPI | - | NPPES |
136-91 | Other | GA | PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Blvd Dr, Bainbridge, GA 39819 Phone: 229-243-8000 Fax: 229-246-7026 | |
Aurora Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 E Shotwell St, Bainbridge, GA 39819 Phone: 229-234-6146 Fax: 229-207-4127 | |
J. Sydney Cochran,mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 E Evans St, Bainbridge, GA 39819 Phone: 229-246-6600 Fax: 229-246-9322 | |
Port City Family Medicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Wheat Ave, Bainbridge, GA 39819 Phone: 229-243-1045 |