Arun K Jain Md | |
2481 Hwy 88 Hephzibah GA 30815 | |
(706) 592-4077 | |
(706) 592-2598 |
Full Name | Arun K Jain Md |
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Speciality | General Practice |
Location | 2481 Hwy 88, Hephzibah, Georgia |
Authorized Official Name and Position | Arun K Jain (PRESIDENT) |
Authorized Official Contact | 7065924077 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arun K Jain Md 2481 Hwy 88 Hephzibah GA 30815 Ph: (706) 592-4077 | Arun K Jain Md 2481 Hwy 88 Hephzibah GA 30815 Ph: (706) 592-4077 |
NPI Number | 1407928484 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 02/06/2008 |
Medicare PECOS PAC ID | 8325208960 |
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Medicare Enrollment ID | O20120320000184 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407928484 | NPI | - | NPPES |
0030044C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 027073 (Georgia) | Primary |
Provider Name | Arun Jain |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1558539429 PECOS PAC ID: 4587824131 Enrollment ID: I20120320000252 |
South Care Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2514-c Tabacco Rd, Hephzibah, GA 30815 Phone: 706-790-0311 Fax: 706-790-0815 |