| Mountain Valley Medical Center | |
|
92 Bettys Creek Rd Dillard GA 30537-2257 | |
| (706) 746-6571 | |
| (706) 746-5643 |
| Full Name | Mountain Valley Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 92 Bettys Creek Rd, Dillard, Georgia |
| Authorized Official Name and Position | Charles R Pennington (ADMINISTRATOR) |
| Authorized Official Contact | 7067466571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Valley Medical Center Po Box 444 Dillard GA 30537-0444 Ph: (706) 746-6571 | Mountain Valley Medical Center 92 Bettys Creek Rd Dillard GA 30537-2257 Ph: (706) 746-6571 |
| NPI Number | 1891954178 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 03/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891954178 | NPI | - | NPPES |
| 00273831B4 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 025380 (Georgia) | Primary |
Mountain Valley Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 92 Bettys Creek Rd, Dillard, GA 30537 Phone: 706-746-6571 Fax: 706-746-5643 | |
Mountain Valley Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 92 Bettys Creek Rd, Dillard, GA 30537 Phone: 706-746-6571 Fax: 706-746-5643 |