Im-peds Primary Care Llc | |
360 Hospital Dr Bldg D Suite110 Macon GA 31217-3874 | |
(478) 841-2707 | |
(478) 841-2708 |
Full Name | Im-peds Primary Care Llc |
---|---|
Speciality | Internal Medicine |
Location | 360 Hospital Dr, Macon, Georgia |
Authorized Official Name and Position | Mary Evelyn Mckinley (DOCTOR) |
Authorized Official Contact | 4788412707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Im-peds Primary Care Llc 360 Hospital Dr Ste 110 Macon GA 31217-8052 Ph: (478) 841-2707 | Im-peds Primary Care Llc 360 Hospital Dr Bldg D Suite110 Macon GA 31217-3874 Ph: (478) 841-2707 |
NPI Number | 1578572293 |
---|---|
Provider Enumeration Date | 08/05/2006 |
Last Update Date | 02/11/2019 |
Medicare PECOS PAC ID | 5395740930 |
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Medicare Enrollment ID | O20061003000462 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578572293 | NPI | - | NPPES |
000954005A | Medicaid | GA | |
DF1259 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 051256 (Georgia) | Primary |
208000000X | Pediatrics | 051256 (Georgia) | Secondary |
Provider Name | Mary Mckinley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023003993 PECOS PAC ID: 0446163240 Enrollment ID: I20031107000483 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
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Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 |