Carroll Co Primary Health Care | |
41 Wellington Mill Rd Whitesburg GA 30185-2606 | |
(770) 836-0501 | |
(770) 834-8261 |
Full Name | Carroll Co Primary Health Care |
---|---|
Speciality | Clinic/Center |
Location | 41 Wellington Mill Rd, Whitesburg, Georgia |
Authorized Official Name and Position | Cherry Toney (CLINIC DIRECTOR) |
Authorized Official Contact | 7708360504 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carroll Co Primary Health Care 41 Wellington Mill Rd Whitesburg GA 30185-2606 Ph: (770) 836-0501 | Carroll Co Primary Health Care 41 Wellington Mill Rd Whitesburg GA 30185-2606 Ph: (770) 836-0501 |
NPI Number | 1750339511 |
---|---|
Provider Enumeration Date | 05/04/2006 |
Last Update Date | 02/21/2022 |
Medicare PECOS PAC ID | 2264415538 |
---|---|
Medicare Enrollment ID | O20040608001213 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750339511 | NPI | - | NPPES |
000254064A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |