| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 311 W 4th St, Waynesboro, Georgia |
| Authorized Official Name and Position | Thomas K Steiner (CEO/CFO) |
| Authorized Official Contact | 7065544435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
351 S Liberty St Waynesboro GA 30830-9686 Ph: (706) 437-2655 | 311 W 4th St Waynesboro GA 30830 Ph: (706) 554-2176 |
| NPI Number | 1013933944 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 06/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013933944 | NPI | - | NPPES |
| 00665959A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7856 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | (Georgia) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 7856 (Georgia) | Primary |
Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Park Dr Bldg 3, Waynesboro, GA 30830 Phone: 762-783-0301 Fax: 762-783-0302 | |
Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Jones Ave, Waynesboro, GA 30830 Phone: 706-790-4440 | |
Bonnie P Jenkins Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Dogwood Drive, Waynesboro, GA 30830 Phone: 706-437-0046 Fax: 706-437-0546 | |