Coolidge Primary Care Clinic | |
1034 South Pine Street Coolidge GA 31738 | |
(229) 346-3511 | |
(229) 346-3512 |
Full Name | Coolidge Primary Care Clinic |
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Speciality | Clinic/center - Rural Health |
Location | 1034 South Pine Street, Coolidge, Georgia |
Authorized Official Name and Position | Charles D. Hightower (CFO) |
Authorized Official Contact | 2292282853 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coolidge Primary Care Clinic 920 Cairo Rd Thomasville GA 31792-4255 Ph: (229) 228-8800 | Coolidge Primary Care Clinic 1034 South Pine Street Coolidge GA 31738 Ph: (229) 346-3511 |
NPI Number | 1114014669 |
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Provider Enumeration Date | 10/06/2006 |
Last Update Date | 05/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114014669 | NPI | - | NPPES |
000000063F | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 136-91 (Georgia) | Primary |
Hurst Boiler Health & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21971 Us Highway 319 N, Coolidge, GA 31738 Phone: 229-346-3545 Fax: 229-346-6319 |