| Walton Emc - Monroe | |
|
501 Mount Vernon Rd Monroe GA 30655-5028 | |
| (770) 267-2511 | |
| (978) 528-1330 |
| Full Name | Walton Emc - Monroe |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 501 Mount Vernon Rd, Monroe, Georgia |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walton Emc - Monroe 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Walton Emc - Monroe 501 Mount Vernon Rd Monroe GA 30655-5028 Ph: (770) 267-2511 |
| NPI Number | 1306511381 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306511381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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