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455 South Maine Street Suite 203 Hinesville GA 31313 | |
(912) 876-3552 | |
(912) 876-3557 |
Full Name | |
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Speciality | Internal Medicine |
Location | 455 South Maine Street, Hinesville, Georgia |
Authorized Official Name and Position | Robin J. Maddox (PROVIDER ENROLLMENT COORDINATOR) |
Authorized Official Contact | 9123509335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 102032 Atlanta GA 30368-2032 Ph: (912) 876-3552 | 455 South Maine Street Suite 203 Hinesville GA 31313 Ph: (912) 876-3552 |
NPI Number | 1790844389 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 06/01/2011 |
Identifier | Type | State | Issuer |
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1790844389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Allied Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Frank Cochran Dr, Suite 111, Hinesville, GA 31313 Phone: 912-368-3868 | |
Bryan Medical Associates,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 E General Stewart Way, Suite 103, Hinesville, GA 31313 Phone: 912-876-5452 | |
Diversity Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 E General Stewart Way Ste A, Hinesville, GA 31313 Phone: 912-318-3947 Fax: 912-877-0189 | |