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1190 Siloam Rd Greensboro GA 30642-2840 | |
(706) 453-0046 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1190 Siloam Rd, Greensboro, Georgia |
Authorized Official Name and Position | Wesley D Ensley (PHYSICIAN) |
Authorized Official Contact | 7064530046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1330 Parks Mill Dr Greensboro GA 30642-3241 Ph: (706) 453-0046 | 1190 Siloam Rd Greensboro GA 30642-2840 Ph: (706) 453-0046 |
NPI Number | 1952567711 |
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Provider Enumeration Date | 07/31/2008 |
Last Update Date | 01/29/2010 |
Identifier | Type | State | Issuer |
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1952567711 | NPI | - | NPPES |
00801765C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 046086 (Georgia) | Primary |
Georgia Kidney Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642 Phone: 706-410-2111 | |
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 |