| Direct Patient Care Of Thomasville Llc | |
|
701 S Hansell St Thomasville GA 31792-5558 | |
| (229) 233-6326 | |
| Not Available |
| Full Name | Direct Patient Care Of Thomasville Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 S Hansell St, Thomasville, Georgia |
| Authorized Official Name and Position | Martha Susan Ward (SOLE MEMBER) |
| Authorized Official Contact | 2292336326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Patient Care Of Thomasville Llc 701 S Hansell St Thomasville GA 31792-5558 Ph: (229) 233-6326 | Direct Patient Care Of Thomasville Llc 701 S Hansell St Thomasville GA 31792-5558 Ph: (229) 233-6326 |
| NPI Number | 1356955645 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 10/14/2020 |
| Medicare PECOS PAC ID | 2567874548 |
|---|---|
| Medicare Enrollment ID | O20201216000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356955645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Martha S Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871609248 PECOS PAC ID: 6103967773 Enrollment ID: I20100104000655 |
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