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100 Doctors Dr Ste 102 Douglas GA 31533-2210 | |
(912) 260-5400 | |
(912) 260-5177 |
Full Name | |
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Speciality | General Practice |
Location | 100 Doctors Dr, Douglas, Georgia |
Authorized Official Name and Position | Lavonda Cravey (VP OF CORPORATE REVENUE CYCLE) |
Authorized Official Contact | 9123841900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1377 Douglas GA 31534-1377 Ph: (912) 384-1477 | 100 Doctors Dr Ste 102 Douglas GA 31533-2210 Ph: (912) 260-5400 |
NPI Number | 1700137684 |
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Provider Enumeration Date | 10/02/2012 |
Last Update Date | 03/30/2022 |
Identifier | Type | State | Issuer |
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1700137684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Coffee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Ste 224, Douglas, GA 31533 Phone: 912-384-2353 | |
Abigail Miller Family Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Shirley Ave, Douglas, GA 31533 Phone: 912-384-7300 | |
Douglas Medical Specialist Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-383-6365 | |
Coffee Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Suite 224, Douglas, GA 31533 Phone: 912-384-2353 |