| Lake Medical Center | |
|
1201 Siloam Rd Greensboro GA 30642-2811 | |
| (706) 453-7331 | |
| (706) 453-2812 |
| Full Name | Lake Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1201 Siloam Rd, Greensboro, Georgia |
| Authorized Official Name and Position | Tina Vidal (CEO) |
| Authorized Official Contact | 7064537331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Medical Center 1201 Siloam Rd Greensboro GA 30642-2811 Ph: (706) 453-7331 | Lake Medical Center 1201 Siloam Rd Greensboro GA 30642-2811 Ph: (706) 453-7331 |
| NPI Number | 1366521395 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366521395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | PENDING (Georgia) | Primary |
Pgh Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Cowles Clinic Way, Ste W-2, Greensboro, GA 30642 Phone: 706-999-0270 Fax: 706-999-0274 | |
Greene County Board Of Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Greene Co Hlth Dept Dist 10 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Georgia Kidney Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642 Phone: 706-410-2111 | |
Greene County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Park Dr, Greensboro, GA 30642 Phone: 706-534-6640 Fax: 706-400-4414 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1041 Park Dr, Greensboro, GA 30642 Phone: 706-453-4945 Fax: 706-453-2954 |