| Medical Center, Llp | |
|
908 Hillcrest Pkwy Dublin GA 31021-4206 | |
| (478) 272-7411 | |
| (478) 274-9809 |
| Full Name | Medical Center, Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 908 Hillcrest Pkwy, Dublin, Georgia |
| Authorized Official Name and Position | Andy F Williamson (PARTNER) |
| Authorized Official Contact | 4782727411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center, Llp 908 Hillcrest Pkwy Dublin GA 31021-4206 Ph: (478) 272-7411 | Medical Center, Llp 908 Hillcrest Pkwy Dublin GA 31021-4206 Ph: (478) 272-7411 |
| NPI Number | 1790804268 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 07/03/2022 |
| Medicare PECOS PAC ID | 9133032774 |
|---|---|
| Medicare Enrollment ID | O20031110000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790804268 | NPI | - | NPPES |
| 85001427G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mark J Samson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386637189 PECOS PAC ID: 4284777483 Enrollment ID: I20100211000008 |
| Provider Name | William M Duke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740273549 PECOS PAC ID: 1355484551 Enrollment ID: I20100211000025 |
| Provider Name | Andy F Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558354506 PECOS PAC ID: 4385557933 Enrollment ID: I20100223000000 |
| Provider Name | Steven R Garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477546281 PECOS PAC ID: 9234274895 Enrollment ID: I20100308000006 |
| Provider Name | David L Tate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093708802 PECOS PAC ID: 0143365700 Enrollment ID: I20100308000007 |
| Provider Name | Kirkland B Kolbie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083839161 PECOS PAC ID: 6608990569 Enrollment ID: I20100830000033 |
| Provider Name | Michelle L Deeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164622924 PECOS PAC ID: 2961695382 Enrollment ID: I20101019000078 |
| Provider Name | Berrien R Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780949727 PECOS PAC ID: 2062730641 Enrollment ID: I20150902002329 |
| Provider Name | Marsha M Lewis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043786221 PECOS PAC ID: 4284988080 Enrollment ID: I20181114001599 |
| Provider Name | Hieu Pham Gia Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952854978 PECOS PAC ID: 8820338973 Enrollment ID: I20230504001095 |
| Provider Name | Adam Kachelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659812105 PECOS PAC ID: 1557782810 Enrollment ID: I20230831003595 |
| Provider Name | Mirnalis Martinez Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043501000 PECOS PAC ID: 1850511775 Enrollment ID: I20230901001623 |
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