| Juanita G Trimor Md Pc | |
|
1232 Augusta West Pkwy Augusta GA 30909-1854 | |
| (706) 228-2597 | |
| (706) 228-2598 |
| Full Name | Juanita G Trimor Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1232 Augusta West Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | Juanita G Trimor (PHYSICIAN) |
| Authorized Official Contact | 7062282597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita G Trimor Md Pc 1232 Augusta West Pkwy Augusta GA 30909-1854 Ph: (706) 228-2597 | Juanita G Trimor Md Pc 1232 Augusta West Pkwy Augusta GA 30909-1854 Ph: (706) 228-2597 |
| NPI Number | 1437383247 |
|---|---|
| Provider Enumeration Date | 05/07/2009 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437383247 | NPI | - | NPPES |
| 000758205A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 040579 (Georgia) | Primary |
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