Jlr Ventures Llc | |
4011 Ga Highway 40 E Saint Marys GA 31558-4067 | |
(912) 882-3323 | |
Not Available |
Full Name | Jlr Ventures Llc |
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Speciality | Clinic/Center |
Location | 4011 Ga Highway 40 E, Saint Marys, Georgia |
Authorized Official Name and Position | Joseph Ritola (OWNER) |
Authorized Official Contact | 4047297496 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jlr Ventures Llc 4011 Ga Highway 40 E Saint Marys GA 31558-4067 Ph: (912) 882-3323 | Jlr Ventures Llc 4011 Ga Highway 40 E Saint Marys GA 31558-4067 Ph: (912) 882-3323 |
NPI Number | 1659130912 |
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Provider Enumeration Date | 03/18/2024 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 8123466232 |
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Medicare Enrollment ID | O20240409003221 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659130912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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