| Hormone And Diabetic Center Of Lake Oconee | |
|
1129 Lake Oconee Pkwy Ste 104 Eatonton GA 31024-9581 | |
| (912) 278-0491 | |
| Not Available |
| Full Name | Hormone And Diabetic Center Of Lake Oconee |
|---|---|
| Speciality | Clinic/Center |
| Location | 1129 Lake Oconee Pkwy Ste 104, Eatonton, Georgia |
| Authorized Official Name and Position | Jessica Marie Alferink (OWNER) |
| Authorized Official Contact | 9122780491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hormone And Diabetic Center Of Lake Oconee 1482 Craven Rd Baxley GA 31513-1318 Ph: (912) 278-0491 | Hormone And Diabetic Center Of Lake Oconee 1129 Lake Oconee Pkwy Ste 104 Eatonton GA 31024-9581 Ph: (912) 278-0491 |
| NPI Number | 1568108850 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 05/10/2022 |
| Medicare PECOS PAC ID | 8224442231 |
|---|---|
| Medicare Enrollment ID | O20220616000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568108850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Randall Crawford Jr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740678739 PECOS PAC ID: 6901124858 Enrollment ID: I20150406001498 |
| Provider Name | Jessica Alferink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235627464 PECOS PAC ID: 7416209358 Enrollment ID: I20181004001062 |
Lake Oconee Partners In Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Harmony Xing Ste 1, Eatonton, GA 31024 Phone: 706-484-0884 | |
Hormone And Diabetic Infusion Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 Lake Oconee Pkwy Ste 104, Eatonton, GA 31024 Phone: 762-220-1962 Fax: 762-220-1961 | |
Eddie Richardson Jr Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Harmony Xing Ste 5, Eatonton, GA 31024 Phone: 706-340-7252 | |
O Akhras Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Sparta Hwy, Eatonton, GA 31024 Phone: 706-485-4002 Fax: 706-485-7117 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Harmony Xing Ste 5, Eatonton, GA 31024 Phone: 706-454-1210 Fax: 762-298-0799 | |
Susan Leigh Jones Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 952 Lake Oconee Pkwy, Eatonton, GA 31024 Phone: 706-485-0880 Fax: 706-485-0846 | |
Rakesh Kumar Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Sparta Hwy, Eatonton, GA 31024 Phone: 707-485-2621 |