| Kjh Medical Services | |
|
67 W Railroad St Shellman GA 39886-3100 | |
| (229) 679-2100 | |
| (229) 679-2010 |
| Full Name | Kjh Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 67 W Railroad St, Shellman, Georgia |
| Authorized Official Name and Position | Bryan Green (PARTNER) |
| Authorized Official Contact | 2293293295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kjh Medical Services Po Box 128 Shellman GA 39886-0128 Ph: (229) 679-2100 | Kjh Medical Services 67 W Railroad St Shellman GA 39886-3100 Ph: (229) 679-2100 |
| NPI Number | 1912481482 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 2668716960 |
|---|---|
| Medicare Enrollment ID | O20181127001933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912481482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristi J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821323304 PECOS PAC ID: 0143549410 Enrollment ID: I20150507002662 |
| Provider Name | Tiffany Harrell Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659967495 PECOS PAC ID: 3375932577 Enrollment ID: I20211109002589 |
Randolph Medical Associates Shellman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 West Railroad Street, Shellman, GA 39886 Phone: 229-679-5579 Fax: 229-679-5584 | |
Shellman Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 W Railroad St, Shellman, GA 39886 Phone: 229-883-1314 |