| Kirk Constant Care Llc | |
|
8 Laurel Ct Moultrie GA 31768-6889 | |
| (229) 891-9016 | |
| Not Available |
| Full Name | Kirk Constant Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8 Laurel Ct, Moultrie, Georgia |
| Authorized Official Name and Position | Stewart Merdian (DIRECTOR) |
| Authorized Official Contact | 2298903531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk Constant Care Llc Po Box 2876 Moultrie GA 31776-2876 Ph: (229) 891-9131 | Kirk Constant Care Llc 8 Laurel Ct Moultrie GA 31768-6889 Ph: (229) 891-9016 |
| NPI Number | 1699423889 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 07/28/2023 |
| Medicare PECOS PAC ID | 1951797646 |
|---|---|
| Medicare Enrollment ID | O20220406000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699423889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert O Spruill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609808179 PECOS PAC ID: 6507967866 Enrollment ID: I20070731000297 |
| Provider Name | Justin A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790707925 PECOS PAC ID: 5294739033 Enrollment ID: I20080429000440 |
| Provider Name | Christopher N Bazal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639260037 PECOS PAC ID: 3779656848 Enrollment ID: I20080723000073 |
| Provider Name | Gary W Swartzentruber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083937908 PECOS PAC ID: 7719016575 Enrollment ID: I20100603000832 |
| Provider Name | Christina Arrington Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639739998 PECOS PAC ID: 1850620501 Enrollment ID: I20190905003661 |
| Provider Name | Ashley L Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700476207 PECOS PAC ID: 7214331792 Enrollment ID: I20210805000613 |
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