| |
421 W Robinson Drive Mount Vernon GA 30445 | |
(912) 583-4739 | |
(912) 583-4774 |
Full Name | |
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Speciality | Family Medicine |
Location | 421 W Robinson Drive, Mount Vernon, Georgia |
Authorized Official Name and Position | Peyton A Smith (CEO) |
Authorized Official Contact | 9125235113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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421 W Robinson Drive Mount Vernon GA 30445 Ph: () - | 421 W Robinson Drive Mount Vernon GA 30445 Ph: (912) 583-4739 |
NPI Number | 1760750467 |
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Provider Enumeration Date | 12/08/2011 |
Last Update Date | 12/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760750467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
East Georgia Healthcare Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 E Broad St, Mount Vernon, GA 30445 Phone: 478-237-2638 Fax: 478-237-9138 |