| Clark Family Care | |
|
715 W Ogeechee St Sylvania GA 30467-8693 | |
| (912) 451-4100 | |
| (912) 451-4105 |
| Full Name | Clark Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 715 W Ogeechee St, Sylvania, Georgia |
| Authorized Official Name and Position | Kendall Clark (FNP-C) |
| Authorized Official Contact | 9124514100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Family Care Po Box 194 Sylvania GA 30467-0194 Ph: (912) 451-4100 | Clark Family Care 715 W Ogeechee St Sylvania GA 30467-8693 Ph: (912) 451-4100 |
| NPI Number | 1114594389 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 2668864885 |
|---|---|
| Medicare Enrollment ID | O20220120002825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114594389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kendall Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821489337 PECOS PAC ID: 3678882339 Enrollment ID: I20151020000676 |
East Georgia Healthcare Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Mims Rd, Sylvania, GA 30467 Phone: 912-451-5887 Fax: 912-451-5886 | |
Screven County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Mims Road, Sylvania, GA 30467 Phone: 912-564-9285 Fax: 912-564-2174 | |
Memorial Health Screven County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Rocky Ford Road, Sylvania, GA 30467 Phone: 912-564-7133 Fax: 912-564-2619 | |
Screven Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Mims Rd, Sylvania, GA 30467 Phone: 912-564-2779 Fax: 912-564-5888 | |
Optim Primary Care - Sylvania Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Rocky Ford Rd, Sylvania, GA 30467 Phone: 912-564-7133 Fax: 912-564-2617 | |
Screven Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Mims Rd, Sylvania, GA 30467 Phone: 912-303-7729 Fax: 912-564-2174 |