Capri Medical Group | |
6400 Flat Rock Rd Columbus GA 31907-5972 | |
(706) 478-5858 | |
(706) 478-0417 |
Full Name | Capri Medical Group |
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Speciality | Clinic/Center |
Location | 6400 Flat Rock Rd, Columbus, Georgia |
Authorized Official Name and Position | Prima R Foster (PROVIDER/OWNER) |
Authorized Official Contact | 7064785858 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Capri Medical Group 6400 Flat Rock Rd Columbus GA 31907-5972 Ph: (706) 478-5858 | Capri Medical Group 6400 Flat Rock Rd Columbus GA 31907-5972 Ph: (706) 478-5858 |
NPI Number | 1679751341 |
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Provider Enumeration Date | 02/05/2008 |
Last Update Date | 07/29/2015 |
Medicare PECOS PAC ID | 5092878470 |
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Medicare Enrollment ID | O20090112000211 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679751341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | 57619 (Georgia) | Secondary |
Provider Name | Prima R Foster |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578671970 PECOS PAC ID: 3274531512 Enrollment ID: I20061120000507 |
Provider Name | Carl A Foster |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316980139 PECOS PAC ID: 5496717944 Enrollment ID: I20070312000410 |
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