| Hazlehurst Family Clinic Llc | |
|
906 Bryan St W Douglas GA 31533-2330 | |
| (912) 383-9300 | |
| (912) 383-9292 |
| Full Name | Hazlehurst Family Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 906 Bryan St W, Douglas, Georgia |
| Authorized Official Name and Position | Umamaheswari Jonnalagadda (OFFICER) |
| Authorized Official Contact | 9123839300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazlehurst Family Clinic Llc 906 Bryan St W Douglas GA 31533-2330 Ph: (912) 383-9300 | Hazlehurst Family Clinic Llc 906 Bryan St W Douglas GA 31533-2330 Ph: (912) 383-9300 |
| NPI Number | 1578743985 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 11/14/2007 |
| Medicare PECOS PAC ID | 2769453059 |
|---|---|
| Medicare Enrollment ID | O20040802000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578743985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | GA042299 (Georgia) | Primary |
| Provider Name | Umamaheswari Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538152855 PECOS PAC ID: 0042281123 Enrollment ID: I20040803000626 |
| Provider Name | Leslie Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881231538 PECOS PAC ID: 9739517046 Enrollment ID: I20200320000881 |
| Provider Name | Kelsea R Fender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275207771 PECOS PAC ID: 8628451366 Enrollment ID: I20220813000291 |
Crh Cardiology Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-0600 Fax: 912-384-0601 | |
Coffee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Ste 224, Douglas, GA 31533 Phone: 912-384-2353 | |
Kids Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Shirley Ave, Ste B, Douglas, GA 31533 Phone: 912-384-2474 Fax: 912-384-4995 | |
Abigail Miller Family Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Shirley Ave, Douglas, GA 31533 Phone: 912-384-7300 | |
Douglas Medical Specialist Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-383-6365 | |
Crh Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Doctors Dr, Ste 101, Douglas, GA 31533 Phone: 912-389-1558 Fax: 912-389-1558 | |
Coffee Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Suite 224, Douglas, GA 31533 Phone: 912-384-2353 |