Kmc Family Care Pc | |
7500 Veterans Pkwy Ste F Columbus GA 31909-2525 | |
(601) 562-7212 | |
Not Available |
Full Name | Kmc Family Care Pc |
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Speciality | Family Medicine |
Location | 7500 Veterans Pkwy Ste F, Columbus, Georgia |
Authorized Official Name and Position | Sunil Kumar (OWNER) |
Authorized Official Contact | 6015627212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kmc Family Care Pc 7500 Veterans Pkwy Ste F Columbus GA 31909-2525 Ph: (706) 221-2045 | Kmc Family Care Pc 7500 Veterans Pkwy Ste F Columbus GA 31909-2525 Ph: (601) 562-7212 |
NPI Number | 1306545975 |
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Provider Enumeration Date | 03/02/2023 |
Last Update Date | 04/16/2023 |
Medicare PECOS PAC ID | 5991162497 |
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Medicare Enrollment ID | O20230526000803 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306545975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tamara Quinones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841668969 PECOS PAC ID: 5698084804 Enrollment ID: I20151028002108 |
Provider Name | Felicia Michelle Worthen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114442340 PECOS PAC ID: 6204100506 Enrollment ID: I20170926001807 |
Provider Name | Sunil Kumar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881991743 PECOS PAC ID: 8628249166 Enrollment ID: I20190104000102 |
Provider Name | Mary Lou Surber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548830086 PECOS PAC ID: 0244622280 Enrollment ID: I20220125000001 |
Provider Name | Yaira Maldonado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023616661 PECOS PAC ID: 1355719360 Enrollment ID: I20221123001058 |
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