| Montgomery Internal Medicine | |
|
441 W Broad Street Mount Vernon GA 30445-2629 | |
| (912) 583-2229 | |
| Not Available |
| Full Name | Montgomery Internal Medicine |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 441 W Broad Street, Mount Vernon, Georgia |
| Authorized Official Name and Position | Lynan Fowler (BUSINESS OFFICE) |
| Authorized Official Contact | 9125235113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Internal Medicine 441 W Broad Street Po Box 546 Mount Vernon GA 30445-2629 Ph: (912) 583-2229 | Montgomery Internal Medicine 441 W Broad Street Mount Vernon GA 30445-2629 Ph: (912) 583-2229 |
| NPI Number | 1164547287 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164547287 | NPI | - | NPPES |
| 324829478B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 208152021 (Georgia) | Primary |
Lower Oconee Rural Health Clinic At Brewton Parker Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 W Robinson Dr, Mount Vernon, GA 30445 Phone: 912-583-4739 Fax: 912-583-4774 | |
East Georgia Healthcare Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 E Broad St, Mount Vernon, GA 30445 Phone: 478-237-2638 Fax: 478-237-9138 | |
Lower Oconee Brewton Parker Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 W Robinson Drive, Mount Vernon, GA 30445 Phone: 912-583-4739 Fax: 912-583-4774 |