| Middle Georgia Family | |
|
306 Corder Road Ste 2 Warner Robins GA 31088 | |
| (478) 329-0291 | |
| (478) 329-1579 |
| Full Name | Middle Georgia Family |
|---|---|
| Speciality | Family Medicine |
| Location | 306 Corder Road, Warner Robins, Georgia |
| Authorized Official Name and Position | Michael J Renner (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4783290291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Georgia Family 306 Corder Road Ste 2 Warner Robins GA 31088 Ph: (478) 329-0291 | Middle Georgia Family 306 Corder Road Ste 2 Warner Robins GA 31088 Ph: (478) 329-0291 |
| NPI Number | 1649441163 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Medicare PECOS PAC ID | 5890783310 |
|---|---|
| Medicare Enrollment ID | O20040504000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649441163 | NPI | - | NPPES |
| GRP4178 | Other | GA | MEDICARE GROUP NUMBER |
| 392665 | Other | GA | BCBS |
| 00607626D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 038594 (Georgia) | Primary |
| Provider Name | Michael John Renner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386602662 PECOS PAC ID: 9335166578 Enrollment ID: I20130228000306 |
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Comprehensive Care Medical Offices, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Osigian Blvd, Warner Robins, GA 31088 Phone: 478-971-2130 Fax: 478-971-2132 | |
Richard Lyndon Smith Jr Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1260 Russell Pkwy, Warner Robins, GA 31088 Phone: 478-929-4100 Fax: 478-329-8814 | |
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