| Buchanan Medical Clinic | |
|
30 Buchanan Byp Buchanan GA 30113-4924 | |
| (770) 646-8281 | |
| (770) 646-3579 |
| Full Name | Buchanan Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 30 Buchanan Byp, Buchanan, Georgia |
| Authorized Official Name and Position | Melanie D Coggins (OFFICE MANAGER) |
| Authorized Official Contact | 7706468281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buchanan Medical Clinic 30 Buchanan Byp Buchanan GA 30113-4924 Ph: (770) 646-8281 | Buchanan Medical Clinic 30 Buchanan Byp Buchanan GA 30113-4924 Ph: (770) 646-8281 |
| NPI Number | 1003020967 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 07/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003020967 | NPI | - | NPPES |
| 113959 | Other | RURAL HEALTH MEDICARE PIN | |
| DD7682 | Other | RAILROAD MEDICARE PIN | |
| 231090380A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 024466 (Georgia) | Primary |
Buchanan Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2908 Business 27, Buchanan, GA 30113 Phone: 770-646-8281 Fax: 770-646-3579 | |
Buchanan Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Buchanan Byp, Buchanan, GA 30113 Phone: 770-646-8281 Fax: 770-646-3579 |