| Integrated Telehealth Llc | |
|
1523 Old Valdosta Rd Ste B Ray City GA 31645 | |
| (877) 543-7221 | |
| (877) 755-2212 |
| Full Name | Integrated Telehealth Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1523 Old Valdosta Rd Ste B, Ray City, Georgia |
| Authorized Official Name and Position | Jon C Gibbs (DIRECTOR) |
| Authorized Official Contact | 7068310204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Telehealth Llc 1523 Old Valdosta Rd Ste B Ray City GA 31645-7132 Ph: (877) 543-7221 | Integrated Telehealth Llc 1523 Old Valdosta Rd Ste B Ray City GA 31645 Ph: (877) 543-7221 |
| NPI Number | 1699299842 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 08/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699299842 | NPI | - | NPPES |
| G38493 | Medicaid | SC | |
| 000616624F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Medical Wellness Center Of Georgia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1523 Old Valdosta Rd, Ray City, GA 31645 Phone: 877-755-2212 |