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80 West Main Street Ste B Butler GA 31006-5156 | |
(478) 862-3879 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 80 West Main Street, Butler, Georgia |
Authorized Official Name and Position | Laurie Hair (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 4784723244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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80 West Main St. Ste B Butler GA 31006-5156 Ph: (478) 862-3879 | 80 West Main Street Ste B Butler GA 31006-5156 Ph: (478) 862-3879 |
NPI Number | 1164574885 |
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Provider Enumeration Date | 01/16/2007 |
Last Update Date | 07/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164574885 | NPI | - | NPPES |
087221830A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Decker Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18 S Broad St, Butler, GA 31006 Phone: 478-837-7121 Fax: 478-837-7020 | |