| Internal Medicine And Geriatrics-rhc | |
|
800 Austin Dr Demorest GA 30535-4508 | |
| (706) 839-4092 | |
| (706) 839-1970 |
| Full Name | Internal Medicine And Geriatrics-rhc |
|---|---|
| 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 |
|---|---|
| Internal Medicine And Geriatrics-rhc Po Box 657 Demorest GA 30535-0657 Ph: (706) 839-4092 | Internal Medicine And Geriatrics-rhc 800 Austin Dr Demorest GA 30535-4508 Ph: (706) 839-4092 |
| NPI Number | 1740778828 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 01/08/2021 |
| Medicare PECOS PAC ID | 9436142338 |
|---|---|
| Medicare Enrollment ID | O20190628001300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740778828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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