Full Name | |
---|---|
Speciality | Family Medicine |
Location | 774 Athens Road, Lexington, Georgia |
Authorized Official Name and Position | Gail D Heard (OFFICE MANAGER) |
Authorized Official Contact | 7067438183 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
774 Athens Road Po Box 69 Lexington GA 30648 Ph: (706) 743-8183 | 774 Athens Road Lexington GA 30648 Ph: (706) 743-8183 |
NPI Number | 1356405047 |
---|---|
Provider Enumeration Date | 12/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356405047 | NPI | - | NPPES |
021100 | Other | GA | BCBS WILLIAM D TUMLIN, MD |
083452 | Other | GA | BCBS LINDA HUESEMAN, MD |
00753497B | Medicaid | GA | |
00147419A | Medicaid | GA | |
00510023A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 012014 (Georgia) | Primary |
Oglethorpe County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Union Point Rd, Lexington, GA 30648 Phone: 706-743-8181 Fax: 706-743-5811 | |
Lexington Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 Athens Rd, Lexington, GA 30648 Phone: 770-331-9113 |