| |
800 Austin Dr Demorest GA 30535-4508 | |
(706) 839-4092 | |
(706) 839-1970 |
Full Name | |
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Speciality | Internal Medicine |
Location | 800 Austin Dr, Demorest, Georgia |
Authorized Official Name and Position | Stephen Tyler Williams (VP OF STRATEGY AND BUSINESS DEVELOP) |
Authorized Official Contact | 7067543113 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 657 Demorest GA 30535-0657 Ph: (706) 839-4092 | 800 Austin Dr Demorest GA 30535-4508 Ph: (706) 839-4092 |
NPI Number | 1740778828 |
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Provider Enumeration Date | 04/25/2018 |
Last Update Date | 01/08/2021 |
Medicare PECOS PAC ID | 9436142338 |
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Medicare Enrollment ID | O20190628001300 |
Identifier | Type | State | Issuer |
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1740778828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Mountain Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 Austin Dr, Demorest, GA 30535 Phone: 706-754-8518 Fax: 706-754-6238 | |
Nancy M Watson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 676 441 Historic Hwy N, Demorest, GA 30535 Phone: 706-754-8884 | |
Family Care Clayton, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 790 441 Historic Hwy N, Demorest, GA 30535 Phone: 706-839-1001 | |
Heritage Internal Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 396 Hwy 441 N, Suite A, Demorest, GA 30535 Phone: 706-754-3287 Fax: 706-754-7646 | |
Habersham Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 865 Austin Dr, Demorest, GA 30535 Phone: 706-754-8811 Fax: 706-754-8822 |