| Astor T. Lim, Md, Pc | |
|
3226 Hampton Ave Suite E Brunswick GA 31520-4225 | |
| (912) 265-2343 | |
| (912) 265-7792 |
| Full Name | Astor T. Lim, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3226 Hampton Ave, Brunswick, Georgia |
| Authorized Official Name and Position | Astor T Lim (PRESIDENT) |
| Authorized Official Contact | 9122652343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Astor T. Lim, Md, Pc 3226 Hampton Ave Suite E Brunswick GA 31520-4225 Ph: (912) 265-2343 | Astor T. Lim, Md, Pc 3226 Hampton Ave Suite E Brunswick GA 31520-4225 Ph: (912) 265-2343 |
| NPI Number | 1922369636 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 05/30/2012 |
| Medicare PECOS PAC ID | 7012170038 |
|---|---|
| Medicare Enrollment ID | O20120531000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922369636 | NPI | - | NPPES |
| 00223022B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 018819 (Georgia) | Primary |
| Provider Name | Astor T Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891714887 PECOS PAC ID: 8921261959 Enrollment ID: I20120531000253 |
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