| Oconee Family Medicine Center, Pc | |
|
800 W Thomas St Milledgeville GA 31061-2674 | |
| (478) 453-9346 | |
| (478) 453-0205 |
| Full Name | Oconee Family Medicine Center, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 W Thomas St, Milledgeville, Georgia |
| Authorized Official Name and Position | James Smith (PARTNER) |
| Authorized Official Contact | 4784539346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconee Family Medicine Center, Pc 800 W Thomas St Milledgeville GA 31061-2674 Ph: (478) 453-9346 | Oconee Family Medicine Center, Pc 800 W Thomas St Milledgeville GA 31061-2674 Ph: (478) 453-9346 |
| NPI Number | 1578657821 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 06/13/2012 |
| Medicare PECOS PAC ID | 3274516588 |
|---|---|
| Medicare Enrollment ID | O20040609000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578657821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Raymond W Deen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659719722 PECOS PAC ID: 3678863909 Enrollment ID: I20160527001023 |
| Provider Name | Jamie Tyler Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659923282 PECOS PAC ID: 1951630086 Enrollment ID: I20190913002927 |
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