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218 E Main St Butler GA 31006-5305 | |
(478) 862-9484 | |
(478) 862-9400 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 218 E Main St, Butler, Georgia |
Authorized Official Name and Position | Linda Young (SECRETARY) |
Authorized Official Contact | 2292738881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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218 E Main St Butler GA 31006-5305 Ph: (229) 273-8881 | 218 E Main St Butler GA 31006-5305 Ph: (478) 862-9484 |
NPI Number | 1225485733 |
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Provider Enumeration Date | 05/16/2016 |
Last Update Date | 01/06/2020 |
Identifier | Type | State | Issuer |
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1225485733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Decker Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18 S Broad St, Butler, GA 31006 Phone: 478-837-7121 Fax: 478-837-7020 | |