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712 N. 7th Street Cordele GA 31015-3271 | |
(229) 276-0052 | |
(229) 276-0064 |
Full Name | |
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Speciality | Clinic/Center |
Location | 712 N. 7th Street, Cordele, 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 |
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P.o. Box 5610 Cordele GA 31010-1514 Ph: (229) 276-0052 | 712 N. 7th Street Cordele GA 31015-3271 Ph: (229) 276-0052 |
NPI Number | 1457581738 |
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Provider Enumeration Date | 07/21/2009 |
Last Update Date | 01/06/2020 |
Medicare PECOS PAC ID | 7810980794 |
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Medicare Enrollment ID | O20100312000368 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457581738 | NPI | - | NPPES |
336981469A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Adams Clinical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 E 16th Ave Ste B, Cordele, GA 31015 Phone: 229-273-3433 Fax: 229-273-0580 | |
M D Whitest Medical Institute Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N 15th St, Cordele, GA 31015 Phone: 404-751-7207 | |
Rahhal Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 N 5th St, Cordele, GA 31015 Phone: 229-276-2185 Fax: 229-276-2186 | |
Crisp Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E 4th Ave Ste B, Cordele, GA 31015 Phone: 229-271-2180 Fax: 229-276-3638 |