| Moultrie Internal Medicine Associates Pc | |
|
320 Sunset Cir Moultrie GA 31768-6924 | |
| (229) 985-5200 | |
| Not Available |
| Full Name | Moultrie Internal Medicine Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 Sunset Cir, Moultrie, Georgia |
| Authorized Official Name and Position | Debra Lamon (OFFICE MANAGER) |
| Authorized Official Contact | 2299855200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moultrie Internal Medicine Associates Pc 320 Sunset Cir Moultrie GA 31768-6924 Ph: (229) 985-5200 | Moultrie Internal Medicine Associates Pc 320 Sunset Cir Moultrie GA 31768-6924 Ph: (229) 985-5200 |
| NPI Number | 1982744082 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 05/04/2022 |
| Medicare PECOS PAC ID | 2567859838 |
|---|---|
| Medicare Enrollment ID | O20220505000986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982744082 | NPI | - | NPPES |
| 00220349C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21172 (Georgia) | Primary |
| Provider Name | James Clyde Lamon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013019033 PECOS PAC ID: 6608952775 Enrollment ID: I20101012000662 |
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