| Nicholls Family Health Care, P.c. | |
|
1205 Van Streat Hwy Nicholls GA 31554-5025 | |
| (912) 345-2474 | |
| (912) 345-2518 |
| Full Name | Nicholls Family Health Care, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1205 Van Streat Hwy, Nicholls, Georgia |
| Authorized Official Name and Position | Winton Cope Mcnair (PRESIDENT/CEO) |
| Authorized Official Contact | 6787788924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholls Family Health Care, P.c. 1205 Van Streat Hwy Nicholls GA 31554-5025 Ph: (912) 345-2474 | Nicholls Family Health Care, P.c. 1205 Van Streat Hwy Nicholls GA 31554-5025 Ph: (912) 345-2474 |
| NPI Number | 1306021795 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306021795 | NPI | - | NPPES |
| 00274799A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 016807 (Georgia) | Primary |
Crh Nicholls Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 N Liberty St, Nicholls, GA 31554 Phone: 912-384-4024 Fax: 912-384-4040 | |
Douglas Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N Liberty Street, Nicholls, GA 31554 Phone: 912-345-9997 Fax: 912-345-9976 |