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12978 N Main St Trenton GA 30752-2241 | |
(706) 657-4183 | |
(706) 657-4270 |
Full Name | |
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Speciality | Clinic/Center |
Location | 12978 N Main St, Trenton, Georgia |
Authorized Official Name and Position | Maelor G Hughes (PRESIDENT) |
Authorized Official Contact | 4234958659 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 749748 Atlanta GA 30374-9748 Ph: (423) 495-4912 | 12978 N Main St Trenton GA 30752-2241 Ph: (706) 657-4183 |
NPI Number | 1467602482 |
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Provider Enumeration Date | 09/26/2008 |
Last Update Date | 11/07/2023 |
Medicare PECOS PAC ID | 8022919570 |
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Medicare Enrollment ID | O20221228003238 |
Identifier | Type | State | Issuer |
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1467602482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Center For Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Pine St, Trenton, GA 30752 Phone: 706-657-3360 Fax: 706-657-4400 | |
Healing Roots Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 N Pine St, Trenton, GA 30752 Phone: 706-657-4985 |