| Glenwood Family Clinic | |
|
322 East Second Avenue Glenwood GA 30428-0866 | |
| (912) 523-2601 | |
| Not Available |
| Full Name | Glenwood Family Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 322 East Second Avenue, Glenwood, Georgia |
| Authorized Official Name and Position | Lynan Fowler (BUSINESS OFFICE) |
| Authorized Official Contact | 9125235113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwood Family Clinic 322 East Second Avenue Glenwood GA 30428-0866 Ph: (912) 523-2602 | Glenwood Family Clinic 322 East Second Avenue Glenwood GA 30428-0866 Ph: (912) 523-2601 |
| NPI Number | 1043335193 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043335193 | NPI | - | NPPES |
| 324829478C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 208152021 (Georgia) | Primary |
Lower Oconee Community Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 North 3rd Street, Glenwood, GA 30428 Phone: 912-523-5113 Fax: 912-523-2049 | |
Robert J. Dayer, M.d., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Third St, Glenwood, GA 30428 Phone: 912-523-5113 Fax: 706-228-3433 |