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4159 Wheeler Rd Ste D Martinez GA 30907-7751 | |
| (706) 993-9341 | |
| (706) 524-4020 |
| Full Name | |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 4159 Wheeler Rd Ste D, Martinez, Georgia |
| Authorized Official Name and Position | Lyvetta Walker Marshall (OWNER/HAIR REPLACEMENT SPECIALIST) |
| Authorized Official Contact | 7069939341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4159 Wheeler Rd Ste D Martinez GA 30907-7751 Ph: (706) 993-9341 | 4159 Wheeler Rd Ste D Martinez GA 30907-7751 Ph: (706) 993-9341 |
| NPI Number | 1144767849 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144767849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | CO072859 (Georgia) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Minaxi, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3524 Lost Tree Ct, Martinez, GA 30907 Phone: 706-267-7681 | |
Interpoint Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Oak St, Martinez, GA 30907 Phone: 706-863-7155 | |
Benjamin F. Towe, M.d., Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Oak St, Martinez, GA 30907 Phone: 706-228-1677 Fax: 706-228-5319 | |
Dr Manhiani Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Secession Ct, Martinez, GA 30907 Phone: 803-233-4673 Fax: 706-210-0771 |