| Higgston Family Clinic | |
|
3101 Us Highway 280 Ailey GA 30410-3659 | |
| (912) 538-7500 | |
| Not Available |
| Full Name | Higgston Family Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3101 Us Highway 280, Ailey, 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 |
|---|---|
| Higgston Family Clinic 3101 Us Highway 280 Ailey GA 30410-3659 Ph: (912) 538-7500 | Higgston Family Clinic 3101 Us Highway 280 Ailey GA 30410-3659 Ph: (912) 538-7500 |
| NPI Number | 1891810909 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891810909 | NPI | - | NPPES |
| 324829478D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 208152021 (Georgia) | Primary |
Brent Alan Cale, M.d., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Us Highway 280, Ailey, GA 30410 Phone: 706-228-2535 Fax: 706-228-3433 | |
Higgston Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Us Highway 280, Ailey, GA 30410 Phone: 912-538-7500 |