Evans Urgent Care | |
800 Oakhurst Dr Evans GA 30809-3650 | |
(706) 364-5500 | |
(706) 364-6863 |
Full Name | Evans Urgent Care |
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Speciality | Family Medicine |
Location | 800 Oakhurst Dr, Evans, Georgia |
Authorized Official Name and Position | Brett Wallentine (OWNER) |
Authorized Official Contact | 7063645500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evans Urgent Care Po Box 2628 Evans GA 30809-2628 Ph: (706) 364-5500 | Evans Urgent Care 800 Oakhurst Dr Evans GA 30809-3650 Ph: (706) 364-5500 |
NPI Number | 1306987235 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1850388653 |
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Medicare Enrollment ID | O20040426000938 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306987235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 046334 (Georgia) | Primary |
Provider Name | Brett Keith Wallentine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922149848 PECOS PAC ID: 6406040542 Enrollment ID: I20101102000957 |
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