| Middle Georgia State University Sports Medicine | |
|
1100 2nd St Se Cochran GA 31014-1564 | |
| (972) 367-4845 | |
| (972) 367-3451 |
| Full Name | Middle Georgia State University Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 2nd St Se, Cochran, Georgia |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Georgia State University Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | Middle Georgia State University Sports Medicine 1100 2nd St Se Cochran GA 31014-1564 Ph: (972) 367-4845 |
| NPI Number | 1629449400 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629449400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Southland Emergency Medical Services Consolidated, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 E Peacock St, Cochran, GA 31014 Phone: 478-934-6211 | |
Fasttrack Immediate Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 N 2nd St, Cochran, GA 31014 Phone: 478-271-0337 Fax: 478-295-3003 | |
Cochran Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 E Peacock St Ste 3, Cochran, GA 31014 Phone: 478-934-9714 | |
Careconnect Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 S 3rd St, Cochran, GA 31014 Phone: 478-934-4988 Fax: 478-934-4989 | |
Taylor Physicians Practice # 23 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 W Dykes St, Cochran, GA 31014 Phone: 478-271-0200 Fax: 478-934-8887 | |
Taylor Physicians Practice # 26 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E Peacock St, Ste B, Cochran, GA 31014 Phone: 478-934-6926 Fax: 478-934-8887 |