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506-c Spaulding Road Suite B Montezuma GA 31063 | |
(478) 458-9992 | |
(478) 458-9996 |
Full Name | |
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Speciality | Clinic/Center |
Location | 506-c Spaulding Road, Montezuma, 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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506-c Spaulding Road Suite B Montezuma GA 31063 Ph: (478) 458-9992 | 506-c Spaulding Road Suite B Montezuma GA 31063 Ph: (478) 458-9992 |
NPI Number | 1407252638 |
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Provider Enumeration Date | 11/17/2014 |
Last Update Date | 01/06/2020 |
Medicare PECOS PAC ID | 7810980794 |
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Medicare Enrollment ID | O20150227002028 |
Identifier | Type | State | Issuer |
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1407252638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
William M. Mcdonald, D.o. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Sumter St, Montezuma, GA 31063 Phone: 478-472-6713 Fax: 478-472-5142 | |
Flint River Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Sumter St, Montezuma, GA 31063 Phone: 478-472-6713 Fax: 478-472-5142 | |