| Oconee Wholesome Medical Llc | |
|
1800 Hog Mountain Rd Ste 103 Watkinsville GA 30677-1935 | |
| (706) 769-8800 | |
| (706) 769-8565 |
| Full Name | Oconee Wholesome Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Hog Mountain Rd Ste 103, Watkinsville, Georgia |
| Authorized Official Name and Position | Nedsely Ana Vila Almonte (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2038739206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconee Wholesome Medical Llc 1800 Hog Mountain Rd Ste 103 Watkinsville GA 30677-1935 Ph: (706) 769-8800 | Oconee Wholesome Medical Llc 1800 Hog Mountain Rd Ste 103 Watkinsville GA 30677-1935 Ph: (706) 769-8800 |
| NPI Number | 1518667781 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 5991154320 |
|---|---|
| Medicare Enrollment ID | O20231212000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518667781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nedsely A Vila Almonte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447548102 PECOS PAC ID: 8325364334 Enrollment ID: I20150311000466 |
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