| |
3830 Washington Rd Suite 17 Martinez GA 30907-5064 | |
(706) 922-0440 | |
(706) 922-0441 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 3830 Washington Rd, Martinez, Georgia |
Authorized Official Name and Position | Mary L Thompson (OWNER) |
Authorized Official Contact | 7069220440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
3830 Washington Rd Suite 17 Martinez GA 30907-5064 Ph: (706) 922-0440 | 3830 Washington Rd Suite 17 Martinez GA 30907-5064 Ph: (706) 922-0440 |
NPI Number | 1215318605 |
---|---|
Provider Enumeration Date | 06/11/2015 |
Last Update Date | 06/11/2015 |
Medicare PECOS PAC ID | 4486969524 |
---|---|
Medicare Enrollment ID | O20150818005269 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215318605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Mary Luella Thompson |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1306949284 PECOS PAC ID: 4082609862 Enrollment ID: I20100910000288 |
Minaxi, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3524 Lost Tree Ct, Martinez, GA 30907 Phone: 706-267-7681 | |
Interpoint Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Oak St, Martinez, GA 30907 Phone: 706-863-7155 | |
Benjamin F. Towe, M.d., Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Oak St, Martinez, GA 30907 Phone: 706-228-1677 Fax: 706-228-5319 | |
Dr Manhiani Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Secession Ct, Martinez, GA 30907 Phone: 803-233-4673 Fax: 706-210-0771 |