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120 E Carter Ave Blackshear GA 31516-1561 | |
| (912) 449-1501 | |
| (912) 449-1517 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 120 E Carter Ave, Blackshear, Georgia |
| Authorized Official Name and Position | Lisa Thrift (PRACTICE MANAGER) |
| Authorized Official Contact | 9124491501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
120 E Carter Ave Blackshear GA 31516-1561 Ph: (912) 449-1501 | 120 E Carter Ave Blackshear GA 31516-1561 Ph: (912) 449-1501 |
| NPI Number | 1508074154 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 03/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508074154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mckinney Community Health Ctr, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Sycamore St, Blackshear, GA 31516 Phone: 912-449-3294 Fax: 912-287-1568 | |
B Well Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3343 Us Highway 84 Ste 103, Blackshear, GA 31516 Phone: 912-807-9355 Fax: 912-514-1222 |