Broxton Family Medical Associates | |
103 Parallel Street Broxton GA 31519-0794 | |
(912) 359-3869 | |
(912) 359-2101 |
Full Name | Broxton Family Medical Associates |
---|---|
Speciality | Clinic/center |
Location | 103 Parallel Street, Broxton, Georgia |
Authorized Official Name and Position | Jeffery Joe Dockery (PRESIDENT/PHYSICIAN) |
Authorized Official Contact | 9123593869 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Broxton Family Medical Associates Po Box 794 Broxton GA 31519-0794 Ph: (912) 359-3869 | Broxton Family Medical Associates 103 Parallel Street Broxton GA 31519-0794 Ph: (912) 359-3869 |
NPI Number | 1013327014 |
---|---|
Provider Enumeration Date | 04/30/2014 |
Last Update Date | 04/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013327014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Hospital Authority Of Irwin County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Parallel Ave, Broxton, GA 31519 Phone: 912-359-3869 Fax: 912-359-2101 |