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259 Broad St Hawkinsville GA 31036-4818 | |
(478) 783-9340 | |
(478) 783-3961 |
Full Name | |
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Speciality | Clinic/Center |
Location | 259 Broad St, Hawkinsville, 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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259 Broad St Hawkinsville GA 31036-4818 Ph: (478) 783-9340 | 259 Broad St Hawkinsville GA 31036-4818 Ph: (478) 783-9340 |
NPI Number | 1902262629 |
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Provider Enumeration Date | 01/11/2016 |
Last Update Date | 08/09/2022 |
Medicare PECOS PAC ID | 7810980794 |
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Medicare Enrollment ID | O20160318000899 |
Identifier | Type | State | Issuer |
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1902262629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
M. Keith Lewis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Industrial Blvd, Ste. 102, Hawkinsville, GA 31036 Phone: 478-783-2297 Fax: 478-783-2296 | |
Heart Of Georgia Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Industrial Blvd, Suite 102, Hawkinsville, GA 31036 Phone: 478-272-4544 Fax: 478-275-1306 |