| Careconnect Family Practice | |
|
80 W Main St Butler GA 31006-5156 | |
| (478) 862-5453 | |
| (478) 862-5454 |
| Full Name | Careconnect Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 W Main St, Butler, Georgia |
| Authorized Official Name and Position | Linda Young (SECRETARY) |
| Authorized Official Contact | 2292738881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnect Family Practice 80 W Main St Butler GA 31006-5156 Ph: (478) 862-5453 | Careconnect Family Practice 80 W Main St Butler GA 31006-5156 Ph: (478) 862-5453 |
| NPI Number | 1104255934 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 01/03/2020 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20140225000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104255934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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