Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1155 5th St Se, Cairo, Georgia |
Authorized Official Name and Position | Gregory S. Scott (CFO) |
Authorized Official Contact | 2292282880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
920 Cairo Rd Thomasville GA 31792-4255 Ph: (229) 228-8800 | 1155 5th St Se Cairo GA 39828-3142 Ph: (229) 377-2718 |
NPI Number | 1285768051 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 03/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285768051 | NPI | - | NPPES |
136-91 | Other | GA | PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
The Pediatric Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 4th St Se, Cairo, GA 39828 Phone: 229-377-8560 Fax: 229-377-4606 | |
Jennifer W. Kendrick Dmd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 N Broad St, Cairo, GA 39828 Phone: 229-377-4204 Fax: 229-377-7753 | |
Angels Of Grace Community Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Martin Luther King Jr Ave Sw, Cairo, GA 39828 Phone: 229-397-9355 | |