| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 25 Perry St, Camilla, Georgia |
| Authorized Official Name and Position | Greg Hembree (SENIOR VP/CFO) |
| Authorized Official Contact | 2292282853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
920 Cairo Rd Thomasville GA 31792-4255 Ph: (229) 227-5500 | 25 Perry St Camilla GA 31730-1852 Ph: (229) 336-1499 |
| NPI Number | 1154352458 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154352458 | NPI | - | NPPES |
| 000001339T | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 101-120 (Georgia) | Primary |
Phoebe Primary Care Of Camilla Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 Fax: 229-336-8260 | |
Albany Area Primary Heath Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Newton Rd, Camilla, GA 31730 Phone: 229-889-7393 Fax: 229-889-8494 | |
Mitchell County Pediatrics And Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 E Oakland Ave Ste A, Camilla, GA 31730 Phone: 229-449-6671 | |