Maysville Family Practice, Inc | |
14 Homer Street Maysville GA 30558-1738 | |
(706) 652-2252 | |
(706) 652-3444 |
Full Name | Maysville Family Practice, Inc |
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Speciality | Family Medicine |
Location | 14 Homer Street, Maysville, Georgia |
Authorized Official Name and Position | Donna Ann Kinsey (OFFICE MANAGER) |
Authorized Official Contact | 7066522252 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maysville Family Practice, Inc Po Box 349 Maysville GA 30558-0349 Ph: (706) 652-2252 | Maysville Family Practice, Inc 14 Homer Street Maysville GA 30558-1738 Ph: (706) 652-2252 |
NPI Number | 1366648644 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6608863543 |
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Medicare Enrollment ID | O20040430000563 |
Identifier | Type | State | Issuer |
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1366648644 | NPI | - | NPPES |
1346320363 | Other | GA | NPI |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 030637 (Georgia) | Primary |
Provider Name | Gary S Kinsey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346320363 PECOS PAC ID: 6305923186 Enrollment ID: I20111212000246 |
Flint Family Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 N Main St, Maysville, GA 30558 Phone: 706-652-2252 Fax: 706-652-3444 |