Optim Primary Care Millen | |
961 E Winthrope Ave Millen GA 30442-1839 | |
(478) 982-9081 | |
(478) 982-8843 |
Full Name | Optim Primary Care Millen |
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Speciality | Clinic/Center |
Location | 961 E Winthrope Ave, Millen, Georgia |
Authorized Official Name and Position | Julie Wittwer (CFO) |
Authorized Official Contact | 5056959410 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optim Primary Care Millen 460 Mall Blvd Ste B Savannah GA 31406-4801 Ph: (912) 644-1626 | Optim Primary Care Millen 961 E Winthrope Ave Millen GA 30442-1839 Ph: (478) 982-9081 |
NPI Number | 1033428214 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 08/22/2024 |
Medicare PECOS PAC ID | 5496944712 |
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Medicare Enrollment ID | O20171013000961 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033428214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Georgia) | Primary |
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