| G-1 Healthcare Llc | |
|
225 Adams Dr Ste B Demorest GA 30535-4578 | |
| (706) 778-3912 | |
| Not Available |
| Full Name | G-1 Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Adams Dr Ste B, Demorest, Georgia |
| Authorized Official Name and Position | Ravinderpal K Gill (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7067783912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G-1 Healthcare Llc 225 Adams Dr Ste B Demorest GA 30535-4578 Ph: () - | G-1 Healthcare Llc 225 Adams Dr Ste B Demorest GA 30535-4578 Ph: (706) 778-3912 |
| NPI Number | 1619614070 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 9335522564 |
|---|---|
| Medicare Enrollment ID | O20220819001918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619614070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ravinderpal K Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992071096 PECOS PAC ID: 0547424012 Enrollment ID: I20130308000429 |
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