Northeast Georgia House Calls Llc | |
2205 Barnett Shoals Rd Athens GA 30605-3605 | |
(706) 548-1555 | |
(888) 532-0853 |
Full Name | Northeast Georgia House Calls Llc |
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Speciality | Family Medicine |
Location | 2205 Barnett Shoals Rd, Athens, Georgia |
Authorized Official Name and Position | Marsha Williamson (BUSINESS MANAGER) |
Authorized Official Contact | 7062026842 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northeast Georgia House Calls Llc 2205 Barnett Shoals Rd Athens GA 30605-3605 Ph: (706) 548-1555 | Northeast Georgia House Calls Llc 2205 Barnett Shoals Rd Athens GA 30605-3605 Ph: (706) 548-1555 |
NPI Number | 1902438617 |
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Provider Enumeration Date | 02/11/2020 |
Last Update Date | 02/11/2020 |
Medicare PECOS PAC ID | 9436589868 |
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Medicare Enrollment ID | O20200424002493 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902438617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Paul D Haver |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770578155 PECOS PAC ID: 8921141268 Enrollment ID: I20100209000004 |
Provider Name | James M Shiver |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811982952 PECOS PAC ID: 3274676382 Enrollment ID: I20100211000108 |
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