| Georgia Internal Medicine Partners, Llc | |
|
1203 George C. Wilson Drive, Suite B Augusta GA 30909-4502 | |
| (706) 447-1118 | |
| (706) 826-2775 |
| Full Name | Georgia Internal Medicine Partners, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1203 George C. Wilson Drive, Suite B, Augusta, Georgia |
| Authorized Official Name and Position | James L Millen (MD, OWNER) |
| Authorized Official Contact | 7062942570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Internal Medicine Partners, Llc 1203 George C Wilson Drive, Suite B Augusta GA 30909-4502 Ph: (706) 447-1118 | Georgia Internal Medicine Partners, Llc 1203 George C. Wilson Drive, Suite B Augusta GA 30909-4502 Ph: (706) 447-1118 |
| NPI Number | 1871650309 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 4284623174 |
|---|---|
| Medicare Enrollment ID | O20040506001537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871650309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lamar B Peacock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003828542 PECOS PAC ID: 5597656652 Enrollment ID: I20040320000387 |
| Provider Name | James L Millen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558373043 PECOS PAC ID: 4082603980 Enrollment ID: I20040615000380 |
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