| Integrity Long Term Care Llc | |
|
1600 Riverside Ave Waycross GA 31501-7028 | |
| (912) 490-4325 | |
| (912) 490-2873 |
| Full Name | Integrity Long Term Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 Riverside Ave, Waycross, Georgia |
| Authorized Official Name and Position | William Alan Morton (SOLE MEMBER) |
| Authorized Official Contact | 9124904325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Long Term Care Llc 808 Beacon St Waycross GA 31501-7104 Ph: (912) 490-4325 | Integrity Long Term Care Llc 1600 Riverside Ave Waycross GA 31501-7028 Ph: (912) 490-4325 |
| NPI Number | 1376268177 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 12/02/2022 |
| Medicare PECOS PAC ID | 0244609071 |
|---|---|
| Medicare Enrollment ID | O20221216001717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376268177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | William A Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881614584 PECOS PAC ID: 2769551241 Enrollment ID: I20080523000375 |
| Provider Name | Beverly D Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316451735 PECOS PAC ID: 9436494572 Enrollment ID: I20181218004024 |
| Provider Name | Utrena Donsha Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548760622 PECOS PAC ID: 6305902933 Enrollment ID: I20190828001642 |
| Provider Name | Marah Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306439369 PECOS PAC ID: 2264814268 Enrollment ID: I20220808003386 |
David H. Cheatham, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197 | |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Peter Wrobel Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 Old Reynolds St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1360 | |
Thornton Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stephenson St, Waycross, GA 31501 Phone: 912-283-6043 Fax: 912-283-6043 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Packer Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Knight Ave, Waycross, GA 31501 Phone: 912-283-2311 Fax: 912-283-8204 | |
Satilla Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W Oneida St, Waycross, GA 31501 Phone: 912-338-0065 Fax: 912-338-0920 |