| Munsayac Health Llc | |
|
22 Cross St Hazlehurst GA 31539-6426 | |
| (912) 375-4884 | |
| (912) 375-4881 |
| Full Name | Munsayac Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 22 Cross St, Hazlehurst, Georgia |
| Authorized Official Name and Position | Kirk Alessandro Munsayac (PHYSICIAN) |
| Authorized Official Contact | 9123754884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munsayac Health Llc 22 Cross St Hazlehurst GA 31539-6426 Ph: (912) 375-4884 | Munsayac Health Llc 22 Cross St Hazlehurst GA 31539-6426 Ph: (912) 375-4884 |
| NPI Number | 1376068064 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 09/13/2017 |
| Medicare PECOS PAC ID | 9436424470 |
|---|---|
| Medicare Enrollment ID | O20171002001903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376068064 | NPI | - | NPPES |
| PENDING | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 68251 (Georgia) | Primary |
| Provider Name | Kirk A Munsayac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235361015 PECOS PAC ID: 2769639442 Enrollment ID: I20120831000313 |
| Provider Name | Preston A Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154975647 PECOS PAC ID: 9133450331 Enrollment ID: I20191018000438 |
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