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361 Cargile Rd Ocilla GA 31774-3606 | |
(229) 468-3975 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 361 Cargile Rd, Ocilla, Georgia |
Authorized Official Name and Position | Paige Wynn (CEO) |
Authorized Official Contact | 2294247100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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361 Cargile Rd Ocilla GA 31774-3606 Ph: (229) 468-3975 | 361 Cargile Rd Ocilla GA 31774-3606 Ph: (229) 468-3975 |
NPI Number | 1245868918 |
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Provider Enumeration Date | 03/30/2020 |
Last Update Date | 02/09/2022 |
Identifier | Type | State | Issuer |
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1245868918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (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 | |