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406 E Broad St Wrens GA 30833-1113 | |
(706) 547-7008 | |
(706) 547-6008 |
Full Name | |
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Speciality | Clinic/Center |
Location | 406 E Broad St, Wrens, Georgia |
Authorized Official Name and Position | Gary H Bell (ADMINISTRATOR) |
Authorized Official Contact | 7065545147 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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305 Jones Ave Waynesboro GA 30830-1510 Ph: (706) 544-5147 | 406 E Broad St Wrens GA 30833-1113 Ph: (706) 547-7008 |
NPI Number | 1851334015 |
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Provider Enumeration Date | 06/14/2006 |
Last Update Date | 12/13/2011 |
Medicare PECOS PAC ID | 0840108478 |
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Medicare Enrollment ID | O20111213000260 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851334015 | NPI | - | NPPES |
CA6260 | Other | GA | PALMETTO GBA RAILROAD |
00679775A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wrens Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Broad St, Wrens, GA 30833 Phone: 706-547-2559 Fax: 706-547-0729 | |