Eatonton Medical And Surgical Center | |
132 Sparta Hwy Eatonton GA 31024-8492 | |
(706) 485-8495 | |
(706) 485-7541 |
Full Name | Eatonton Medical And Surgical Center |
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Speciality | Internal Medicine |
Location | 132 Sparta Hwy, Eatonton, Georgia |
Authorized Official Name and Position | Ajay Kumar (OWNER) |
Authorized Official Contact | 7064858495 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eatonton Medical And Surgical Center Po Box 4608 Eatonton GA 31024-4608 Ph: (706) 485-8495 | Eatonton Medical And Surgical Center 132 Sparta Hwy Eatonton GA 31024-8492 Ph: (706) 485-8495 |
NPI Number | 1720289119 |
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Provider Enumeration Date | 05/31/2007 |
Last Update Date | 04/24/2024 |
Medicare PECOS PAC ID | 0446265185 |
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Medicare Enrollment ID | O20060216000108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720289119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ajay Kumar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073500443 PECOS PAC ID: 9830091602 Enrollment ID: I20040122000622 |
Provider Name | Davey D Herring |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1629180971 PECOS PAC ID: 4587649967 Enrollment ID: I20040621000773 |
Provider Name | Angela M Odom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740567643 PECOS PAC ID: 6305077876 Enrollment ID: I20200806000615 |
Lake Oconee Partners In Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Harmony Xing Ste 1, Eatonton, GA 31024 Phone: 706-484-0884 | |
Hormone And Diabetic Infusion Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 Lake Oconee Pkwy Ste 104, Eatonton, GA 31024 Phone: 762-220-1962 Fax: 762-220-1961 | |
Eddie Richardson Jr Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Harmony Xing Ste 5, Eatonton, GA 31024 Phone: 706-340-7252 | |
O Akhras Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Sparta Hwy, Eatonton, GA 31024 Phone: 706-485-4002 Fax: 706-485-7117 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Harmony Xing Ste 5, Eatonton, GA 31024 Phone: 706-454-1210 Fax: 762-298-0799 | |
Susan Leigh Jones Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 952 Lake Oconee Pkwy, Eatonton, GA 31024 Phone: 706-485-0880 Fax: 706-485-0846 | |
Rakesh Kumar Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Sparta Hwy, Eatonton, GA 31024 Phone: 707-485-2621 |