Irwin Specialty Centers Llc | |
710 N Irwin Ave Ocilla GA 31774-5011 | |
(229) 468-3800 | |
Not Available |
Full Name | Irwin Specialty Centers Llc |
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Speciality | Clinic/center |
Location | 710 N Irwin Ave, Ocilla, Georgia |
Authorized Official Name and Position | Tami L Sandiford (ACCOUNTANT) |
Authorized Official Contact | 2294683862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Irwin Specialty Centers Llc 710 N Irwin Ave Ocilla GA 31774-5011 Ph: (229) 468-3800 | Irwin Specialty Centers Llc 710 N Irwin Ave Ocilla GA 31774-5011 Ph: (229) 468-3800 |
NPI Number | 1164129094 |
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Provider Enumeration Date | 02/10/2023 |
Last Update Date | 02/10/2023 |
Identifier | Type | State | Issuer |
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1164129094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |