| Elizabeth Family Practice Center | |
|
15 Medical Arts Ctr Savannah GA 31405-4414 | |
| (912) 352-9001 | |
| (912) 629-0468 |
| Full Name | Elizabeth Family Practice Center |
|---|---|
| Speciality | Family Medicine |
| Location | 15 Medical Arts Ctr, Savannah, Georgia |
| Authorized Official Name and Position | Obayode Ayewa (OWNER) |
| Authorized Official Contact | 9123529001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Family Practice Center 15 Medical Arts Ctr Savannah GA 31405-4414 Ph: (912) 352-9001 | Elizabeth Family Practice Center 15 Medical Arts Ctr Savannah GA 31405-4414 Ph: (912) 352-9001 |
| NPI Number | 1659571818 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Medicare PECOS PAC ID | 8820029341 |
|---|---|
| Medicare Enrollment ID | O20050824001024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659571818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 055657 (Georgia) | Primary |
| Provider Name | Obayode Ayewa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346228962 PECOS PAC ID: 1658324132 Enrollment ID: I20050224000379 |
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