| Dublin Internal Medicine | |
|
104 Fairview Park Dr Dublin GA 31021 | |
| (478) 272-1366 | |
| (478) 277-1922 |
| Full Name | Dublin Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 104 Fairview Park Dr, Dublin, Georgia |
| Authorized Official Name and Position | Ellen Barr (ASST. ADMINISTRATOR) |
| Authorized Official Contact | 4782721366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dublin Internal Medicine P O Box 1528 Dublin GA 31040 Ph: (478) 272-1366 | Dublin Internal Medicine 104 Fairview Park Dr Dublin GA 31021 Ph: (478) 272-1366 |
| NPI Number | 1073618856 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 12/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073618856 | NPI | - | NPPES |
| 55000983A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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