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602 A E. Long St. Claxton GA 30417 | |
(912) 739-5932 | |
(912) 739-5933 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 602 A E. Long St., Claxton, Georgia |
Authorized Official Name and Position | John Wiggins (CEO) |
Authorized Official Contact | 9127395000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 N River St Claxton GA 30417-1659 Ph: (912) 739-5000 | 602 A E. Long St. Claxton GA 30417 Ph: (912) 739-5932 |
NPI Number | 1760717433 |
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Provider Enumeration Date | 10/13/2009 |
Last Update Date | 07/19/2011 |
Identifier | Type | State | Issuer |
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1760717433 | NPI | - | NPPES |