| Colquitt Complete Care Llc | |
|
103 W Pine St Colquitt GA 39837-3526 | |
| (229) 758-3002 | |
| (229) 758-9415 |
| Full Name | Colquitt Complete Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 103 W Pine St, Colquitt, Georgia |
| Authorized Official Name and Position | William Franklin Swofford (MEDICAL DOCTOR) |
| Authorized Official Contact | 2297583002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colquitt Complete Care Llc 103 W Pine St Colquitt GA 39837-3526 Ph: (229) 758-3002 | Colquitt Complete Care Llc 103 W Pine St Colquitt GA 39837-3526 Ph: (229) 758-3002 |
| NPI Number | 1265602940 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 9931182250 |
|---|---|
| Medicare Enrollment ID | O20040609000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265602940 | NPI | - | NPPES |
| 000815515C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 046262 (Georgia) | Primary |
| Provider Name | Lisa A Swofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083667448 PECOS PAC ID: 9931121043 Enrollment ID: I20060103000450 |
| Provider Name | William F Swofford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568463206 PECOS PAC ID: 8426070335 Enrollment ID: I20060103000487 |
| Provider Name | Susan Michelle Askew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396187936 PECOS PAC ID: 5193951630 Enrollment ID: I20131112000211 |
| Provider Name | Ansley Poague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942724919 PECOS PAC ID: 4486991247 Enrollment ID: I20190131003443 |
| Provider Name | Ashlie Lynn Brackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215548490 PECOS PAC ID: 4183033665 Enrollment ID: I20210513001173 |
Miller County Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 North Cuthbert St, Colquitt, GA 39837 Phone: 229-758-3304 Fax: 229-758-6622 | |
William Swofford Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W Main St Ste 4, Colquitt, GA 39837 Phone: 229-758-3002 Fax: 229-758-9415 | |
Brand Professional Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 N Cuthbert St, Colquitt, GA 39837 Phone: 229-758-3304 Fax: 949-955-5482 |