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416 E 3rd Ave Cordele GA 31015-3605 | |
(813) 724-3204 | |
(585) 433-5039 |
Full Name | |
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Speciality | Clinic/center |
Location | 416 E 3rd Ave, Cordele, Georgia |
Authorized Official Name and Position | Jose Miguel Lopez (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 6464629251 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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416 E 3rd Ave Cordele GA 31015-3605 Ph: (813) 724-3204 | 416 E 3rd Ave Cordele GA 31015-3605 Ph: (813) 724-3204 |
NPI Number | 1669910675 |
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Provider Enumeration Date | 02/09/2017 |
Last Update Date | 02/09/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669910675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Adams Clinical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 E 16th Ave Ste B, Cordele, GA 31015 Phone: 229-273-3433 Fax: 229-273-0580 | |
M D Whitest Medical Institute Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N 15th St, Cordele, GA 31015 Phone: 404-751-7207 | |
Rahhal Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 N 5th St, Cordele, GA 31015 Phone: 229-276-2185 Fax: 229-276-2186 | |
Crisp Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E 4th Ave Ste B, Cordele, GA 31015 Phone: 229-271-2180 Fax: 229-276-3638 |