Full Name | |
---|---|
Speciality | Family Medicine |
Location | 361 Cargile Road, Ocilla, Georgia |
Authorized Official Name and Position | Howard C Mcmahan (PHYSICIAN) |
Authorized Official Contact | 2294689903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 779 Ocilla GA 31774 Ph: (229) 468-9903 | 361 Cargile Road Ocilla GA 31774 Ph: (229) 468-9903 |
NPI Number | 1578788410 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578788410 | NPI | - | NPPES |
00238587D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Irwin Specialty Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 N Irwin Ave, Ocilla, GA 31774 Phone: 229-468-3800 | |