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502 Sumter St Montezuma GA 31063-1734 | |
(478) 472-3100 | |
(478) 472-3248 |
Full Name | |
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Speciality | Clinic/Center |
Location | 502 Sumter St, Montezuma, Georgia |
Authorized Official Name and Position | John Hopfensperger (PRESIDENT) |
Authorized Official Contact | 9206216140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 538579 Atlanta GA 30353-8579 Ph: (478) 472-3100 | 502 Sumter St Montezuma GA 31063-1734 Ph: (478) 472-3100 |
NPI Number | 1659700763 |
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Provider Enumeration Date | 11/08/2013 |
Last Update Date | 08/05/2015 |
Medicare PECOS PAC ID | 9830327972 |
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Medicare Enrollment ID | O20140925000547 |
Identifier | Type | State | Issuer |
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1659700763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 |