| Medlink Monroe | |
|
704 Breedlove Dr Ste B Monroe GA 30655-2054 | |
| (770) 266-0935 | |
| Not Available |
| Full Name | Medlink Monroe |
|---|---|
| Speciality | Clinic/Center |
| Location | 704 Breedlove Dr Ste B, Monroe, Georgia |
| Authorized Official Name and Position | David Ward (CEO) |
| Authorized Official Contact | 7067883234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medlink Monroe Po Box 459 Colbert GA 30628-0459 Ph: (706) 788-3234 | Medlink Monroe 704 Breedlove Dr Ste B Monroe GA 30655-2054 Ph: (770) 266-0935 |
| NPI Number | 1669833364 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 08/05/2020 |
| Medicare PECOS PAC ID | 3274442850 |
|---|---|
| Medicare Enrollment ID | O20160516000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669833364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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