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280 E Willow Creek Ln Mc Rae GA 31055-5180 | |
| (229) 868-4433 | |
| (229) 868-4440 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 280 E Willow Creek Ln, Mc Rae, Georgia |
| Authorized Official Name and Position | Colette Nolen (CEO) |
| Authorized Official Contact | 9125235113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
280 E Willow Creek Ln Mc Rae GA 31055-5180 Ph: (229) 868-4433 | 280 E Willow Creek Ln Mc Rae GA 31055-5180 Ph: (229) 868-4433 |
| NPI Number | 1831326677 |
|---|---|
| Provider Enumeration Date | 06/19/2009 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831326677 | NPI | - | NPPES |
| 324829478E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
William J Briggs Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 E Oak St, Mc Rae, GA 31055 Phone: 229-868-6467 Fax: 229-868-5900 | |
Habigaile Cribe, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 S Second Ave, Mc Rae, GA 31055 Phone: 229-868-4900 |