| Dr Anon Eugene Westmoreland Jr Md | |
|
479b N Hall Rd Dahlonega GA 30533-0627 | |
| (706) 864-7963 | |
| (706) 864-1588 |
| Full Name | Dr Anon Eugene Westmoreland Jr Md |
|---|---|
| Speciality | General Practice |
| Location | 479b N Hall Rd, Dahlonega, Georgia |
| Authorized Official Name and Position | Joyce Westmoreland (OFFICE MANAGER) |
| Authorized Official Contact | 7068647963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anon Eugene Westmoreland Jr Md 479b N Hall Rd Dahlonega GA 30533-0627 Ph: (706) 864-7963 | Dr Anon Eugene Westmoreland Jr Md 479b N Hall Rd Dahlonega GA 30533-0627 Ph: (706) 864-7963 |
| NPI Number | 1720207442 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/08/2010 |
| Medicare PECOS PAC ID | 3577755891 |
|---|---|
| Medicare Enrollment ID | O20101005000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720207442 | NPI | - | NPPES |
| 00164458A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 013534 (Georgia) | Primary |
| Provider Name | Anon E Westmoreland |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992771661 PECOS PAC ID: 0749383586 Enrollment ID: I20070315000056 |
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