Georgia Kidney Care | |
1000 Cowles Clinic Way Ste Cy-300 Greensboro GA 30642-5285 | |
(706) 410-2111 | |
Not Available |
Full Name | Georgia Kidney Care |
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Speciality | Clinic/Center |
Location | 1000 Cowles Clinic Way Ste Cy-300, Greensboro, Georgia |
Authorized Official Name and Position | Courtney Cantrell (CREDENTIALING) |
Authorized Official Contact | 4234133832 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Georgia Kidney Care 1000 Cowles Clinic Way Ste Cy-300 Greensboro GA 30642-5285 Ph: (706) 410-2111 | Georgia Kidney Care 1000 Cowles Clinic Way Ste Cy-300 Greensboro GA 30642-5285 Ph: (706) 410-2111 |
NPI Number | 1114768132 |
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Provider Enumeration Date | 06/04/2024 |
Last Update Date | 06/04/2024 |
Medicare PECOS PAC ID | 4587101274 |
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Medicare Enrollment ID | O20240813003197 |
Identifier | Type | State | Issuer |
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1114768132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Arun Kumar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225050057 PECOS PAC ID: 7315910171 Enrollment ID: I20050804000508 |
Provider Name | Juan L Pimentel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215923149 PECOS PAC ID: 7911070982 Enrollment ID: I20080729000502 |
Greene County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Park Dr, Greensboro, GA 30642 Phone: 706-534-6640 Fax: 706-400-4414 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1041 Park Dr, Greensboro, GA 30642 Phone: 706-453-4945 Fax: 706-453-2954 |