Elbert County Internal Meidicine Llc | |
740 Prince Avenue Building 13 Athens GA 30606-5906 | |
(706) 549-6882 | |
(706) 549-8684 |
Full Name | Elbert County Internal Meidicine Llc |
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Speciality | Internal Medicine |
Location | 740 Prince Avenue, Athens, Georgia |
Authorized Official Name and Position | Hilaria Cleland (OFFICE MANAGER) |
Authorized Official Contact | 7065498682 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elbert County Internal Meidicine Llc Po Box 1468 Athens GA 30603-1468 Ph: (706) 549-8682 | Elbert County Internal Meidicine Llc 740 Prince Avenue Building 13 Athens GA 30606-5906 Ph: (706) 549-6882 |
NPI Number | 1427397082 |
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Provider Enumeration Date | 02/01/2013 |
Last Update Date | 04/28/2020 |
Medicare PECOS PAC ID | 8325339088 |
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Medicare Enrollment ID | O20160628000718 |
Identifier | Type | State | Issuer |
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1427397082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 037175 (Georgia) | Primary |
Provider Name | George Cleland |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063503209 PECOS PAC ID: 6204859770 Enrollment ID: I20060111000007 |
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