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501 East Broad Street Wrens GA 30833 | |
(706) 547-8559 | |
(706) 547-0729 |
Full Name | |
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Speciality | Clinic/Center |
Location | 501 East Broad Street, Wrens, Georgia |
Authorized Official Name and Position | Janice Sherman (CEO) |
Authorized Official Contact | 7067904440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2467 Golden Camp Road Augusta GA 30906 Ph: (706) 790-4440 | 501 East Broad Street Wrens GA 30833 Ph: (706) 547-8559 |
NPI Number | 1760815773 |
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Provider Enumeration Date | 08/13/2013 |
Last Update Date | 08/13/2013 |
Medicare PECOS PAC ID | 7315851078 |
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Medicare Enrollment ID | O20140324001568 |
Identifier | Type | State | Issuer |
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1760815773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 14489GA (Georgia) | Primary |
Wrens Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Broad St, Wrens, GA 30833 Phone: 706-547-2559 Fax: 706-547-0729 | |