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3913 Main St Folkston GA 31537-7545 | |
(912) 496-0826 | |
(912) 496-6341 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3913 Main St, Folkston, Georgia |
Authorized Official Name and Position | Ola Smith (CEO) |
Authorized Official Contact | 9122870301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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218 Quarterman St Waycross GA 31501-3547 Ph: (912) 287-9140 | 3913 Main St Folkston GA 31537-7545 Ph: (912) 496-0826 |
NPI Number | 1548621089 |
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Provider Enumeration Date | 03/11/2016 |
Last Update Date | 05/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548621089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Peach Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3722 Main St, Folkston, GA 31537 Phone: 912-496-3000 | |