| Lake Oconee Wellness Associates Llc | |
|
1741 Hog Mountain Rd # 200 Watkinsville GA 30677-1947 | |
| (706) 705-6152 | |
| Not Available |
| Full Name | Lake Oconee Wellness Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1741 Hog Mountain Rd # 200, Watkinsville, Georgia |
| Authorized Official Name and Position | Don Wright (MEMBER/MANAGER) |
| Authorized Official Contact | 7066140828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Oconee Wellness Associates Llc 1171 Laurel Pointe Watkinsville GA 30677-7559 Ph: (706) 614-0828 | Lake Oconee Wellness Associates Llc 1741 Hog Mountain Rd # 200 Watkinsville GA 30677-1947 Ph: (706) 705-6152 |
| NPI Number | 1073005138 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 7810235108 |
|---|---|
| Medicare Enrollment ID | O20190212001503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073005138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephanie Wiggins Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215429881 PECOS PAC ID: 9739439324 Enrollment ID: I20180830003714 |
| Provider Name | Rachael Marie Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689209207 PECOS PAC ID: 6002247558 Enrollment ID: I20200515002447 |
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