George Martinez Office Of Internal Medicine Llc | |
750 N. Cobb St. Ste 120 Milledgeville GA 31061 | |
(478) 452-5515 | |
(478) 452-5517 |
Full Name | George Martinez Office Of Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 750 N. Cobb St., Milledgeville, Georgia |
Authorized Official Name and Position | George E Martinez (M.D. (PHYSICIAN)) |
Authorized Official Contact | 4784525515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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George Martinez Office Of Internal Medicine Llc Po Box 1415 Milledgeville GA 31059-1415 Ph: (478) 452-5515 | George Martinez Office Of Internal Medicine Llc 750 N. Cobb St. Ste 120 Milledgeville GA 31061 Ph: (478) 452-5515 |
NPI Number | 1861714420 |
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Provider Enumeration Date | 02/24/2010 |
Last Update Date | 08/31/2018 |
Medicare PECOS PAC ID | 4880718931 |
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Medicare Enrollment ID | O20100826000766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861714420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 047982 (Georgia) | Primary |
Provider Name | George E Martinez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073507828 PECOS PAC ID: 6709779796 Enrollment ID: I20040204000341 |
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