Georgia Medical Clinic Inc | |
2316 Wrightsboro Rd Augusta GA 30904-6220 | |
(706) 733-3406 | |
(706) 738-8757 |
Full Name | Georgia Medical Clinic Inc |
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Speciality | Internal Medicine |
Location | 2316 Wrightsboro Rd, Augusta, Georgia |
Authorized Official Name and Position | Zulfiqar Ahmed (OWNER) |
Authorized Official Contact | 7067333406 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Georgia Medical Clinic Inc 2316 Wrightsboro Rd Augusta GA 30904-6220 Ph: (706) 733-3406 | Georgia Medical Clinic Inc 2316 Wrightsboro Rd Augusta GA 30904-6220 Ph: (706) 733-3406 |
NPI Number | 1972993228 |
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Provider Enumeration Date | 01/26/2015 |
Last Update Date | 01/26/2015 |
Medicare PECOS PAC ID | 5991029886 |
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Medicare Enrollment ID | O20150126000344 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972993228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 069166 (Georgia) | Primary |
Provider Name | Zulfiqar Ahmed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093885568 PECOS PAC ID: 4880643287 Enrollment ID: I20150127001216 |
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