Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 117 First Street, Rhine, Georgia |
Authorized Official Name and Position | Peyton 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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P O Box 398 111 N 3rd Street Glenwood GA 30428 Ph: (229) 385-8822 | 117 First Street Rhine GA 31077 Ph: (229) 385-8822 |
NPI Number | 1336402676 |
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Provider Enumeration Date | 06/21/2012 |
Last Update Date | 06/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336402676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Rhine Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Main Street, Rhine, GA 31077 Phone: 229-385-8822 Fax: 229-385-8828 | |