Optim Primary Care-hazalhurst | |
38 S Tallahassee St Hazlehurst GA 31539-6261 | |
(912) 644-5300 | |
(912) 644-5260 |
Full Name | Optim Primary Care-hazalhurst |
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Speciality | Clinic/center - Rural Health |
Location | 38 S Tallahassee St, Hazlehurst, Georgia |
Authorized Official Name and Position | Michael W Kleinpeter (CEO) |
Authorized Official Contact | 9126445300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Optim Primary Care-hazalhurst 210 E Derenne Ave Savannah GA 31405-6736 Ph: (912) 644-5300 | Optim Primary Care-hazalhurst 38 S Tallahassee St Hazlehurst GA 31539-6261 Ph: (912) 644-5300 |
NPI Number | 1265706394 |
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Provider Enumeration Date | 03/07/2012 |
Last Update Date | 03/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265706394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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