| Family Care North, Pc | |
|
1921 Whittlesey Rd Ste 200 Columbus GA 31904-9213 | |
| (706) 494-1454 | |
| (706) 494-1455 |
| Full Name | Family Care North, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1921 Whittlesey Rd, Columbus, Georgia |
| Authorized Official Name and Position | Linda M Chin (OWNER/CFO) |
| Authorized Official Contact | 7064941454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care North, Pc Po Box 846 Fortson GA 31808-0846 Ph: (706) 494-1454 | Family Care North, Pc 1921 Whittlesey Rd Ste 200 Columbus GA 31904-9213 Ph: (706) 494-1454 |
| NPI Number | 1194838706 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 01/19/2017 |
| Medicare PECOS PAC ID | 5991993644 |
|---|---|
| Medicare Enrollment ID | O20101221001011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194838706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda Mae Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780665208 PECOS PAC ID: 9931394418 Enrollment ID: I20101110000241 |
| Provider Name | George Bayley Royer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558342071 PECOS PAC ID: 1254526239 Enrollment ID: I20101116000999 |
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