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109 S Duval St Claxton GA 30417-2029 | |
(912) 557-1000 | |
(912) 557-1009 |
Full Name | |
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Speciality | Family Medicine |
Location | 109 S Duval St, Claxton, Georgia |
Authorized Official Name and Position | Robert Guenthner (SECRETARY OF TATTNALL HOSPTIAL COMP) |
Authorized Official Contact | 3126278247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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210 E Derenne Ave Savannah GA 31405-6736 Ph: (912) 644-1626 | 109 S Duval St Claxton GA 30417-2029 Ph: (912) 557-1000 |
NPI Number | 1972978948 |
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Provider Enumeration Date | 12/02/2015 |
Last Update Date | 12/02/2015 |
Identifier | Type | State | Issuer |
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1972978948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |