| Oconee Regional Health Ventures, Inc | |
|
425 N Cobb St Milledgeville GA 31061-2634 | |
| (478) 454-1034 | |
| (478) 454-1114 |
| Full Name | Oconee Regional Health Ventures, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 425 N Cobb St, Milledgeville, Georgia |
| Authorized Official Name and Position | Jan Gaston (ADMINISTRATOR) |
| Authorized Official Contact | 7064684519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconee Regional Health Ventures, Inc 425 N Cobb St Milledgeville GA 31061-2634 Ph: (478) 454-1034 | Oconee Regional Health Ventures, Inc 425 N Cobb St Milledgeville GA 31061-2634 Ph: (478) 454-1034 |
| NPI Number | 1598832602 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 07/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598832602 | NPI | - | NPPES |
| 642646863A | Medicaid | GA | |
| DD9130 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
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