Monroe Primary Care Llc | |
705 Breedlove Dr Ste 800 Monroe GA 30655-2086 | |
(678) 635-6185 | |
(678) 635-6187 |
Full Name | Monroe Primary Care Llc |
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Speciality | Family Medicine |
Location | 705 Breedlove Dr Ste 800, Monroe, Georgia |
Authorized Official Name and Position | Joel Garrison (PHYSICIAN) |
Authorized Official Contact | 6786356185 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monroe Primary Care Llc 705 Breedlove Dr Ste 800 Monroe GA 30655-2086 Ph: (678) 635-6185 | Monroe Primary Care Llc 705 Breedlove Dr Ste 800 Monroe GA 30655-2086 Ph: (678) 635-6185 |
NPI Number | 1710726963 |
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Provider Enumeration Date | 05/20/2024 |
Last Update Date | 08/23/2024 |
Medicare PECOS PAC ID | 2264979194 |
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Medicare Enrollment ID | O20240808003312 |
Identifier | Type | State | Issuer |
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1710726963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Joel Garrison |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720426695 PECOS PAC ID: 0143517599 Enrollment ID: I20160928001724 |
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