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105 Rocky Ford Road Sylvania GA 30467 | |
| (912) 564-7133 | |
| (912) 564-2619 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Rocky Ford Road, Sylvania, 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 |
|---|---|
Po Box 102032 Atlanta GA 30368-2032 Ph: (912) 564-7133 | 105 Rocky Ford Road Sylvania GA 30467 Ph: (912) 564-7133 |
| NPI Number | 1508925454 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508925454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
East Georgia Healthcare Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Mims Rd, Sylvania, GA 30467 Phone: 912-451-5887 Fax: 912-451-5886 | |
Screven County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Mims Road, Sylvania, GA 30467 Phone: 912-564-9285 Fax: 912-564-2174 | |
Altea Medical Georgia Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Pine St, Sylvania, GA 30467 Phone: 912-564-2015 | |
Screven Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Mims Rd, Sylvania, GA 30467 Phone: 912-564-2779 Fax: 912-564-5888 | |