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502 Sumter St Montezuma GA 31063-1734 | |
(478) 472-8178 | |
(478) 472-3289 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 502 Sumter St, Montezuma, Georgia |
Authorized Official Name and Position | Michael C Patterson (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4784723100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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509 Sumter St P.o. Box 770 (31063-2502) Montezuma GA 31063-1733 Ph: (478) 472-3100 | 502 Sumter St Montezuma GA 31063-1734 Ph: (478) 472-8178 |
NPI Number | 1104914480 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 06/10/2014 |
Identifier | Type | State | Issuer |
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1104914480 | NPI | - | NPPES |
00014987C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
William M. Mcdonald, D.o. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Sumter St, Montezuma, GA 31063 Phone: 478-472-6713 Fax: 478-472-5142 | |
Flint River Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Sumter St, Montezuma, GA 31063 Phone: 478-472-6713 Fax: 478-472-5142 | |