| Oconee Healthcare Center Llc | |
|
133 Colaparchee Ct Macon GA 31210-7226 | |
| (478) 972-0277 | |
| (888) 326-5817 |
| Full Name | Oconee Healthcare Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 Colaparchee Ct, Macon, Georgia |
| Authorized Official Name and Position | Farhan Siddiqui (PHYSICIAN) |
| Authorized Official Contact | 4789720277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconee Healthcare Center Llc Po Box 26698 Macon GA 31221-6698 Ph: (404) 600-1215 | Oconee Healthcare Center Llc 133 Colaparchee Ct Macon GA 31210-7226 Ph: (478) 972-0277 |
| NPI Number | 1306904081 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 09/19/2019 |
| Medicare PECOS PAC ID | 9234392853 |
|---|---|
| Medicare Enrollment ID | O20120518000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306904081 | NPI | - | NPPES |
| 000757831F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| Provider Name | Farhan Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598754301 PECOS PAC ID: 7810912326 Enrollment ID: I20100528000224 |
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