| Medcare Plus, Llc | |
|
300 Lester Mill Rd Ste 170 Locust Grove GA 30248-4370 | |
| (470) 462-2330 | |
| Not Available |
| Full Name | Medcare Plus, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Lester Mill Rd Ste 170, Locust Grove, Georgia |
| Authorized Official Name and Position | Tamika Martin (OWNER) |
| Authorized Official Contact | 4783355902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcare Plus, Llc 300 Lester Mill Rd Ste 170 Locust Grove GA 30248-5308 Ph: (470) 462-2330 | Medcare Plus, Llc 300 Lester Mill Rd Ste 170 Locust Grove GA 30248-4370 Ph: (470) 462-2330 |
| NPI Number | 1114647740 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 1254707581 |
|---|---|
| Medicare Enrollment ID | O20221012000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114647740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tamika A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598206294 PECOS PAC ID: 8022361849 Enrollment ID: I20181024003126 |
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