| Faith Family Practice | |
|
2005 Pioneer St Ste C Waycross GA 31501-6205 | |
| (912) 490-7777 | |
| (912) 490-7778 |
| Full Name | Faith Family Practice |
|---|---|
| Speciality | General Practice |
| Location | 2005 Pioneer St Ste C, Waycross, Georgia |
| Authorized Official Name and Position | Mary Elizabeth Page (OWNER) |
| Authorized Official Contact | 9124907777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Family Practice 2005 Pioneer St Ste C Waycross GA 31501-6205 Ph: (912) 490-7777 | Faith Family Practice 2005 Pioneer St Ste C Waycross GA 31501-6205 Ph: (912) 490-7777 |
| NPI Number | 1649819343 |
|---|---|
| Provider Enumeration Date | 12/27/2019 |
| Last Update Date | 04/23/2020 |
| Medicare PECOS PAC ID | 3072934520 |
|---|---|
| Medicare Enrollment ID | O20200609001299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649819343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Clay A Lee |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1215901509 PECOS PAC ID: 7416948328 Enrollment ID: I20040520000096 |
| Provider Name | Jerry W Mullis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851314975 PECOS PAC ID: 8820996564 Enrollment ID: I20040716000646 |
| Provider Name | Leanna Jaye Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164796488 PECOS PAC ID: 2365602513 Enrollment ID: I20120326000224 |
David H. Cheatham, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197 | |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Peter Wrobel Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 Old Reynolds St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1360 | |
Thornton Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stephenson St, Waycross, GA 31501 Phone: 912-283-6043 Fax: 912-283-6043 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Packer Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Knight Ave, Waycross, GA 31501 Phone: 912-283-2311 Fax: 912-283-8204 | |
Satilla Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W Oneida St, Waycross, GA 31501 Phone: 912-338-0065 Fax: 912-338-0920 |